| NPI | 1760882013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KI SEONG PARK President 571-235-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-23 |
| Last Update Date | 2014-08-23 |