| NPI | 1073115333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNEKI NONI EDWARDS Owner 510-423-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-12 |