| NPI | 1780938795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTI COLUCCI President 951-785-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 0669770126821) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |