NPI | 1639925696 |
---|---|
Entity Type | Organization |
Authorized Contact | KYNESSA PATRICE MCCRAY Owner 310-505-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2024-04-29 |
Last Update Date | 2024-04-29 |