| NPI | 1811510779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOANDY CORREA FLEIRES Authorized Official 310-498-1067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2022-08-30 |