| NPI | 1831475359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LEE Owner 509-999-9487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 603151477) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |