| NPI | 1891071387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN FRANCIS BETTENCOURT Vice President 209-537-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 56332) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |