| NPI | 1730350489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LLOYD THOMAS Owner 760-518-5431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 72304) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 43100) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2014-04-14 |