| NPI | 1235679945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN MALONE Owner 619-347-8052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |