| NPI | 1790130284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | W R FERMIN Owner/Partner 760-736-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |