| NPI | 1851604060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMI WINGET Manager 801-803-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV nv20061040994) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |