| NPI | 1972882876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT ANTHONY BROWN Owner 424-200-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102050738) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |