| NPI | 1114779030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE B DAVIS Chief Revenue Cycle Officer 916-990-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |