| NPI | 1942454038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN COMO MELENDRES Owner 253-277-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602873352) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2008-11-17 |