NPI | 1346261492 |
---|---|
Doing Business As | RALPH BAKER'S SHOES |
Entity Type | Organization |
Authorized Contact | RALPH LAMONT BAKER Owner 704-636-1850 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2006-07-22 |
Last Update Date | 2013-08-20 |