| NPI | 1124483326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GLENN MARTYN Owner 650-898-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |