| NPI | 1508095522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JOHNSON Credentialing 951-284-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2009-07-12 |