ANTONIO MARIO SERGIO

SOUTH BEND, IN
NPI1437301074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
Additional Taxonomies225000000X Orthotic Fitter
Enumeration Date2008-10-15
Last Update Date2008-10-15
Business Address
Mr. ANTONIO MARIO SERGIO Reg Shoe-Maker Merch
1508 MISHAWAKA AVENUE
SOUTH BEND, IN 46615-1426
Phone number: 574-246-9700
Mailing Address
Mr. ANTONIO MARIO SERGIO Reg Shoe-Maker Merch
1508 MISHAWAKA AVENUE
SOUTH BEND, IN 46615-1426
Phone number: 574-246-9700
Similar providers in South Bend, IN
ERIC SCHOPMEYER
ADAM LEE WAUGH