| NPI | 1952565095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILUSKA I. UGARTE Owner 757-471-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2008-07-17 |