| NPI | 1962844209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTINE TITA ASANGONG Business Manager 443-847-6810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 5000000000039429) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2013-07-29 |