| NPI | 1811013642 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | SHERILL A RADTKE Owner 562-596-1452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-11-20 |