| NPI | 1629420005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRY VALDEZ Owner/Director 703-782-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1720526) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2017-04-27 |