| NPI | 1730782194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NA'FRETTA GONZALES Owner 989-213-1509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |