| NPI | 1821228057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILYA GERASIMOV President/Owner 206-523-6095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 718862) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |