| NPI | 1396093308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK MADERE Owner 951-833-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 58051) |
| Enumeration Date | 2012-08-22 |
| Last Update Date | 2012-08-22 |