| NPI | 1407163710 |
|---|---|
| Doing Business As | SIERRA-PACIFIC HEALTH SUPPLY |
| Entity Type | Organization |
| Authorized Contact | UKPONG UWEH President 209-472-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: CA 54805) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2011-01-27 |