| NPI | 1336473164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R PETERSEN Managing Member 916-631-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2009-09-26 |