| NPI | 1972636397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH V MISELIS President 209-465-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA G502810) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-06-17 |