| NPI | 1710303169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P CORDOVA President 425-774-0083 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 600561377) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-11 |