| NPI | 1144026865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN ALEXANDER-LEWIS Administrator 916-340-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-09-12 |