| NPI | 1912183559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN OSAYANREN Owner/Manager 702-644-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |