| NPI | 1730100827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA KENNEDY Owner 909-684-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103627) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |