| NPI | 1669623682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE DYLLA Owner 520-881-3439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 10187536-J) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |