| NPI | 1053483206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY MAURER CEO 415-673-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA FNP22369) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA NFP22369) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |