| NPI | 1932348281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E MOON Owner 504-391-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 149623) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |