| NPI | 1366594491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN JOHN HOLBUS Owner 916-332-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 294697) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 43351) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |