| NPI | 1912616566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI KIRBY Owner 802-236-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |