NPI | 1710384854 |
---|---|
Entity Type | Organization |
Authorized Contact | ARINOLA L ADEGBORUWA President 702-688-0690 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2014-12-03 |
Last Update Date | 2015-06-02 |