| NPI | 1821363862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA PEREIRA Member 909-647-6079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |