| NPI | 1871746545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN QUINN CHRISTENSEN Co Owner 469-878-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0106342) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |