| NPI | 1134461957 |
|---|---|
| Other Name | SOLDOTNA OFFICE |
| Entity Type | Organization |
| Authorized Contact | GRACE ANGELINE Reg Compliance Specialist Iii 714-961-2102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AK 76321) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2021-08-25 |