| NPI | 1841528890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR NGIOWA Owner 301-455-7064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2821) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MD R2821) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: MD R2821) | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |