| NPI | 1710092168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JAMES MAXON MALDONADO President 602-265-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 07674241) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2013-03-26 |