| NPI | 1063117844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIOSHA SMITH Owner 916-513-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-09 |