| NPI | 1902651474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON DE VERA Chief Executive Officer 909-215-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-18 |
| Last Update Date | 2024-09-04 |