| NPI | 1710164363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA R BOENDER Sole Proprietor/Practitioner 443-830-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2022-07-21 |