| NPI | 1659170645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO GONZALEZ President 571-379-5716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-11 |
| Last Update Date | 2025-07-15 |