| NPI | 1700042611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIDEL S. BARAJAS President 916-381-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 11380) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |