| NPI | 1689483455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY RONNEBAUM Member 702-580-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |