| NPI | 1730449737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF JOSEPH MOCNY Senior Consultant 408-421-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 201036110171) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |