| NPI | 1679938294 |
|---|---|
| Other Name | JACQUELINE M BABOL |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MENDOZA BABOL Owner Doctor 509-928-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID P218) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: ID P218) |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: ID P218) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: ID P218) | |
| Enumeration Date | 2015-12-25 |
| Last Update Date | 2015-12-25 |