| NPI | 1952741480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN OKERBLOM Owner 805-260-5389 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: CA D8170348) |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |