| NPI | 1013133115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA RODRIGUEZ Owner 888-632-9832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 100627839) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-09-26 |