| NPI | 1235141854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE ANTONIO CORREA Owner 916-451-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 44380) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |