| NPI | 1649746066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMMEL KAUR BAL President 209-957-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-07-22 |