| NPI | 1124354675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL EDWARD ENNIS Owner 916-791-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 51882) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2022-07-21 |