| NPI | 1821744301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JEFFRIES President 209-771-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |