| NPI | 1992480586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY TOOMBS Credentialing Manager 702-430-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |