| NPI | 1952898454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EHSAN HAQ Administrator 703-498-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |