NPI | 1205249943 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGLA MACE Office Manager 208-734-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: ID D-4353-PR) |
Enumeration Date | 2014-06-10 |
Last Update Date | 2014-06-10 |