| NPI | 1568665644 |
|---|---|
| Doing Business As | BRENDA STARR IMAGE CENTER |
| Entity Type | Organization |
| Authorized Contact | BRENDA HARGROVE-ADDISON Owner 757-638-7880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: VA 1202017211) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-11 |