| NPI | 1518037787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK RAY SHANER President 909-392-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA D08428) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-05-01 |