| NPI | 1730389826 |
|---|---|
| Other Name | NO |
| Entity Type | Organization |
| Authorized Contact | MARJORIE T. BONSALL Owner 408-376-0495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 1276) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-01-31 |