| NPI | 1720807100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENA BISHARA Owner 702-885-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |