| NPI | 1215111935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WELLS Podiatrist/President 619-527-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 4728380001) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |