| NPI | 1881472447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE CONRAD-JONES Manager 714-679-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |