| NPI | 1710049747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM J SHITTU President 909-356-4888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 5954070001) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-11-06 |