| NPI | 1952817272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARELLE NICOLE LOUDD CEO 408-460-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: CA KK482064) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |