| NPI | 1932854247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MARTINEZ President 754-272-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-15 |
| Last Update Date | 2022-02-15 |