| NPI | 1346843323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE POTTER Credentialing Manager 925-948-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2021-01-11 |