| NPI | 1740020254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTOINETTE LASTER-SMITH Owner 949-295-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |