NPI | 1073557799 |
---|---|
Doing Business As | DESOTO FOOT CARE |
Entity Type | Organization |
Authorized Contact | CARLA ARNETTE MARTIN Podtiatrist 662-893-0533 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: MS 80159) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2020-02-20 |