| NPI | 1093891616 |
|---|---|
| Other Name | VIRGINIA LEE SHIPP |
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN SHIPP Office Manager 360-659-7928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 224P00000X Prosthetist |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2009-08-29 |