| NPI | 1053646497 |
|---|---|
| Doing Business As | EDWARDS LEATHER & SHOE REPAIR |
| Entity Type | Organization |
| Authorized Contact | JEFFREY SMOOT Owner 504-214-6208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 21876) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |