| NPI | 1093972952 |
|---|---|
| Doing Business As | VINCENT'S FOOTWEAR & APPAREL |
| Entity Type | Organization |
| Authorized Contact | JANET LEE VINCENT C.Ped 660-826-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-08-18 |