| NPI | 1083667976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA PEREIRA Office Adminsitration 909-987-1661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-08-19 |