| NPI | 1245798446 |
|---|---|
| Doing Business As | FOOT CARE AT HOME, INC |
| Entity Type | Organization |
| Authorized Contact | PEGGY GRAY MAGNUSSON Director 310-245-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-05-02 |