| NPI | 1386987659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE H BORMAN C.F.O. 209-577-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |