| NPI | 1487181178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS M MEAD Cto 209-408-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 102-715005) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |