| NPI | 1881370674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLE THUDIUM President 619-794-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-12-27 |