| NPI | 1730240250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA DOWNS Office Manager 707-575-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 752625) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |