| NPI | 1720747116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH PLASCENCIA Manager 408-622-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-14 |