| NPI | 1689819443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOSUNMOLA A AYOOLA CEO 909-881-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 50452) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2010-04-23 |