| NPI | 1184513772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RABAB BOULASBAA Manager 619-394-2059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-30 |
| Last Update Date | 2025-06-30 |