| NPI | 1639925696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNESSA PATRICE MCCRAY Owner 310-505-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |