| NPI | 1205092970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORI LYN LALANNE Owner 760-699-8685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA C36397) |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2015-04-15 |