| NPI | 1619401254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATINDER THIARA Manager 530-301-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |