| NPI | 1255499588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND AGYIN President 909-371-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103163) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |