NPI | 1245304484 |
---|---|
Doing Business As | SPECIALTY SHOES |
Entity Type | Organization |
Authorized Contact | PEGGY JEAN HESTER President 561-317-2706 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-11-20 |
Last Update Date | 2009-12-21 |