| NPI | 1518011329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ANN WIGMORE Owner 707-446-7014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA PENDING) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-04-19 |