| NPI | 1760219257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL PANTELIDES Owner 602-842-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |