| NPI | 1063771061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE WILKINS Sole Owner 805-657-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 2012 23640) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2017-03-13 |