| NPI | 1871315952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MARTIN VALERA Manager 929-751-0796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-11-14 |