| NPI | 1134359268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE CHRISTOPHER PAPPAS Owner 760-803-0259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 17122) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2009-07-23 |