| NPI | 1235272188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWALE O FAJEWONYOMI Owner 909-433-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-11-06 |