| NPI | 1104019843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PESSAH Supplier 619-575-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 4893810001) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |