| NPI | 1043716160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA FRITSCH Member 909-437-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2018-04-05 |