| NPI | 1376878215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH MANRIQUEZ Owner 559-734-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 107263) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |