| NPI | 1962622712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND AGYIN President 951-371-2562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103163) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-10-31 |