| NPI | 1073837274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA WAKAMIYA Manager 916-965-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 49039) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |