| NPI | 1699956920 |
|---|---|
| Doing Business As | CHAMPION SHOE SALES & REPAIR |
| Entity Type | Organization |
| Authorized Contact | ANGELO L GIUNTA Owner 570-523-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA CERT#6000005305) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2012-11-21 |