| NPI | 1134614274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA NAWAZ Owner 760-552-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 98950) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2018-06-29 |