| NPI | 1679245799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMI RODRIGUEZ-JUSTIS Practice Manager 719-599-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |