| NPI | 1932391000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSLAN BOLOCHAN President 602-993-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20177241) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-01-28 |