NPI | 1073578944 |
---|---|
Entity Type | Organization |
Authorized Contact | GRACE ANGELINE Reg Compliance Specialist Iii 714-961-2102 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: IL 01662432) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2021-02-09 |