| NPI | 1891878567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYIS PATATANIAN Owner 703-858-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA b602611) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-02-14 |