NPI | 1205339959 |
---|---|
Doing Business As | KIDS FEET VEGAS |
Entity Type | Organization |
Authorized Contact | CHRISTINA LOUISE HULSEBOS Secretary 414-897-3543 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 2021) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2018-03-08 |