| NPI | 1396399143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GRACIA President 707-363-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-01-31 |