| NPI | 1790882975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA NAZAROVA President 818-557-8379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-11-30 |