| NPI | 1851797880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN AUSTIN HANNEMANN President 916-967-3652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA C1817913) |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |