| NPI | 1720207988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY RUTH KUEPER Co Owner Office Manager 505-296-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM FA0012489) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: NM FA0012489) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |