| NPI | 1629643341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZILLAH JULIANA MUSUNGU Owner 801-410-9493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2021-05-25 |