| NPI | 1982860409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO L NUNEZ Member 267-761-8522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 3801094) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |