| NPI | 1710708359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN ALAMEDA President 939-640-3271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |