| NPI | 1760626899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEISHA MCDONALD President 951-488-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-06-23 |