| NPI | 1780876706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDI KEMPER Office Manager 909-481-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |