| NPI | 1164793915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA LYN MAYLE Owner 760-201-6564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 00030975) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |