| NPI | 1871061895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENTA JEAN FRIES ROBERTSON Authorized Administrator 559-326-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2018-11-07 |