| NPI | 1578914743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA K HERNANDEZ Owner 559-731-5107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA HA7257) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |