| NPI | 1851647143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEMANE WOLDEGABRIEL Owner 909-517-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2019-05-05 |