| NPI | 1609343797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM GOWDY JEFFERSON President 951-490-3751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-27 |
| Last Update Date | 2018-10-27 |