| NPI | 1447733019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMERON ABRAHAM Mp/Owner 619-694-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |