| NPI | 1780982876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART G REEVES Owner 916-395-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA E4006) |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |