| NPI | 1720650476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETT VALENZUELA AYUB Owner 858-283-2391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2022-07-07 |