| NPI | 1851607980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE JEAN O'DONNELL Member LLC 408-437-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |