EDMOND J RESTIVO

MOBILE, AL
NPI1043558976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: LA  331216298)
Enumeration Date2013-01-28
Last Update Date2013-01-28
Business Address
MR. EDMOND J RESTIVO C.P.O.
3456 SPRING HILL AVE STE 19
MOBILE, AL 36608-1523
Phone number: 251-605-2529
Mailing Address
MR. EDMOND J RESTIVO C.P.O.
3456 SPRING HILL AVE STE 19
MOBILE, AL 36608-1523
Phone number: 251-605-2529
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