| NPI | 1700069853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY M JOHNSON Credentialing 909-481-2577 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-10-31 |