NPI | 1528223708 |
---|---|
Other Name | DOC'S SHOES |
Entity Type | Organization |
Authorized Contact | ROBERT L LAREAUX President 808-263-6012 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2008-07-27 |
Last Update Date | 2008-07-27 |