| NPI | 1790080877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LUERA Owner 520-750-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 0167476) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |