NPI | 1073708103 |
---|---|
Professional Name | HARTING SHOE REPAIR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-09-11 |
Last Update Date | 2007-09-11 |