| NPI | 1417404005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA FUJII Director Of Operations 844-631-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |