| NPI | 1881825008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI DO Owner 619-229-9597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 200901610039) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2012-08-21 |