| NPI | 1922282540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY J CAPAWANA Owner 509-334-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 129815001) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2017-02-16 |