| NPI | 1780005801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MARQUEZ Owner 856-691-0482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NJ 0400601424) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2014-04-16 |