| NPI | 1144550096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHNOY JOSEPH CORRAL Owner 559-307-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |