| NPI | 1396705687 |
|---|---|
| Doing Business As | ROADRUNNER FOOTWEAR AND FOOTCARE |
| Entity Type | Organization |
| Authorized Contact | SANDRA YAUK Owner 505-896-0533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2008-11-14 |