| NPI | 1821706094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUONG TRANG T TRAN Dme Coordinator 206-721-5009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |