| NPI | 1922105899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH LORRAINE MARTINEZ President/Owner 915-564-5923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-04-23 |