| NPI | 1689010803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A LYON Owner 415-516-2339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |