| NPI | 1679742118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMEIQUO TUCKER President 480-855-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |