| NPI | 1518421858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN CARLOS RAMIREZ Owner 909-395-8637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2019-01-30 |