| NPI | 1295381432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA MAUREEN ROBLES Manager 909-414-9420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2019-08-14 |