| NPI | 1336174127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LELAND DAVID JOHNSON Owner 530-226-9570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 20694) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-07-21 |