| NPI | 1508280066 |
|---|---|
| Doing Business As | LA-MS DIABETIC SHOES |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE F PHELAN Owner 601-398-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |