| NPI | 1922737675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DE ANDA Owner 619-888-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |