| NPI | 1396873824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MYRELL CEO 909-503-1984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 17216) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2021-05-17 |