| NPI | 1912257940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVES SAINT CHRISTOPHER CUSTODIO HERRERA General Manager 619-730-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 101640490) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |