| NPI | 1871319202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN NOONAN Pnw Regional CFO 415-925-7449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |