| NPI | 1376093567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MARTINEZ Manager 916-921-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 76536) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |