| NPI | 1730473489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD GLENN MARTYN Director 650-898-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |