| NPI | 1548488661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRIK C HAWKINS Owner 916-966-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA HA 3639) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2021-01-14 |