| NPI | 1063755478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULTANA CRAIGHEAD Correspondent 805-498-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |