NPI | 1760119168 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDY S VALLEMBOIS Owner 559-776-8512 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 222Z00000X Orthotist |
224P00000X Prosthetist | |
225000000X Orthotic Fitter | |
Enumeration Date | 2022-08-04 |
Last Update Date | 2024-04-10 |