| NPI | 1982887667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL VELDERRAIN President 602-404-6172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2008-02-11 |