| NPI | 1093475717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MILLER Practice Manager 661-369-8543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |