| NPI | 1194448621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABEEB UR RAHMAN MOHAMMED Owner 916-604-4793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |