NPI | 1689807299 |
---|---|
Doing Business As | HAYES SHOE STORE |
Entity Type | Organization |
Authorized Contact | JEFFREY L BOUSE Owner 573-885-7312 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2009-08-29 |
Last Update Date | 2012-11-20 |