| NPI | 1417056193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ASHLOCK CFO 530-877-9361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: CA 46137) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 230000017) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2017-10-23 |