NPI | 1689457772 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON YURI ONOUFRIENKO Owner 678-387-5620 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2023-08-14 |
Last Update Date | 2024-02-08 |