| NPI | 1902037088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNJA LEE VASQUEZ Owner/President 405-242-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK 542611) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2011-10-25 |