| NPI | 1619805835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAEEQ ZULFIQAR Owner 307-289-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-05-09 |
| Last Update Date | 2026-05-09 |