JLA SENIOR FOOTCARE HI LLC

HONOLULU, HI
NPI1659676971
Entity TypeOrganization
Authorized ContactANTHONY INNOCENZI
Owner
330-702-0978
Organization Subpart ?No
Primary Taxonomy213ES0131X Podiatrist Foot Surgery
(Licence: HI  PO190)
Enumeration Date2011-01-18
Last Update Date2011-01-18
Business Address
JLA SENIOR FOOTCARE HI LLC
1888 KALAKAUA AVE
HONOLULU, HI 96815-1510
Phone number: 808-347-0432
Mailing Address
JLA SENIOR FOOTCARE HI LLC
4870 S ASPEN CT
CANFIELD, OH 44406-8469
Phone number:
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