| NPI | 1780915439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REUBEN EZEKIEL DELOLMO Ownner 915-261-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |