NPI | 1043194962 |
---|---|
Entity Type | Organization |
Authorized Contact | YEMANE WOLDEGABRIEL President 909-248-0347 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |