| NPI | 1982257002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS DIANA ASTERINO SANTA CRUZ Owner 754-332-2958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-06-26 |