| NPI | 1912167149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISIDORA DE GUZMAN TAGUD Manager 702-434-2458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00407) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2009-03-06 |