| NPI | 1417978065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY CANEPA President 209-369-3641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA ZZZ49755Z) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA ZZZ49755Z) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |