NPI | 1750037750 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDEN PENHASOV President 000-000-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-02-28 |
Last Update Date | 2022-02-28 |