| NPI | 1639353626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUMIDE OKUNIYI OKUSANYA Director Of Operations 909-885-2378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 48145) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-07-30 |