| NPI | 1639669856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA SABO Owner 951-769-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |