| NPI | 1962922468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LEE CARDONA Owner 210-410-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2025-02-11 |