| NPI | 1629131842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA CELESTE WALKER Member 916-451-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2019-10-02 |