| NPI | 1972988129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC INGRAM Partner 650-308-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 079883974) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2016-06-02 |