| NPI | 1508619677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GLENN MARTYN Service Dog Trainer 650-451-8216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |