| NPI | 1487800132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE A WILLIAMS President 916-789-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 157351) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2018-01-08 |