| NPI | 1720117203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLY MERZHERITSKY Manager 415-336-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA DME0218OF) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-10-12 |