EXOTIC NOVA EXTENSIONS RX

HIGHLAND, IN
NPI1801567995
Entity TypeOrganization
Authorized ContactBRITTANY LEE
Owner
219-617-3799
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2021-09-28
Last Update Date2021-10-04
Business Address
EXOTIC NOVA EXTENSIONS RX
9445 INDIANAPOLIS BLVD # 1212
HIGHLAND, IN 46322-2648
Phone number: 219-617-3799
Mailing Address
EXOTIC NOVA EXTENSIONS RX
9445 INDIANAPOLIS BLVD # 1212
HIGHLAND, IN 46322-2648
Phone number: 219-617-3799