| NPI | 1902633407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNTUKUNG JARJOU Co Owner 913-832-9830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2025-12-01 |