| NPI | 1780072637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA LYNNE SELL General Owner 858-560-8177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 74424) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2014-12-30 |