| NPI | 1306029400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY GRIER President 951-279-2158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101813) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |