| NPI | 1235298159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYN KIP ODERMATT Owner 209-337-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2011-08-11 |