JLA SENIOR FOOTCARE NM LLC

LOVINGTON, NM
NPI1659688380
Entity TypeOrganization
Authorized ContactANTHONY INNOCENZI
Owner
330-702-0978
Organization Subpart ?No
Primary Taxonomy213ES0131X Podiatrist, Foot Surgery
(Licence: NM  331)
Enumeration Date2010-09-01
Last Update Date2010-09-01
Business Address
JLA SENIOR FOOTCARE NM LLC
1600 W AVE I
LOVINGTON, NM 88260-5002
Phone number: 575-396-5212
Mailing Address
JLA SENIOR FOOTCARE NM LLC
4870 S ASPEN CT
CANFIELD, OH 44406-8469
Phone number:
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