| NPI | 1952786386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHONNIUSS CHEMWENO CEO/President 505-389-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251X00000X |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2018-06-16 |