| NPI | 1891026241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICIO TERRAZAS Member 916-799-6992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2010-12-01 |