| NPI | 1174955868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK D. PACKARD Dr/Owner 760-729-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |