| NPI | 1073724498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNE RENEE CABALLERO-RODRIGUEZ President 209-956-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 2470) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 2470) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-06-24 |