| NPI | 1952149692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENA SALAMA MANOLLY Certified Prosthetist Orthtotist 951-966-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 222Z00000X |
| 224P00000X Prosthetist | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-01-31 |