| NPI | 1922123793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD RAY FRIESTMAN Respiratory Therapist 505-332-9171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 03097555007) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |