NPI | 1629663497 |
---|---|
Entity Type | Organization |
Authorized Contact | ASIA T MCCLUSTER Owner 229-395-0868 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-03-04 |
Last Update Date | 2021-03-04 |