| NPI | 1841332731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA N POLIAKOVA Vendor 425-306-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602 088 640) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-06-23 |