| NPI | 1053648071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L GITTINS Member 916-320-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |