NPI | 1255732046 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA B RISOS Owner/Doctor 619-482-8880 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA 50416) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2014-09-11 |