| NPI | 1518089861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH P IMIG Office Manager 209-234-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-08-22 |