| NPI | 1952413825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MEYERS Owner 360-652-5779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602381450) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |