| NPI | 1952130890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY QUINN Owner 916-855-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-10-27 |