| NPI | 1225218118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNTANA ORLANDO NELSON Owner 619-229-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 47337) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-07 |