NPI | 1801954359 |
---|---|
Doing Business As | BRILLS SHOES |
Entity Type | Organization |
Authorized Contact | BARRY EUGENE SILVER Owner President 909-882-2116 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 528 Board for Certif) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2010-05-10 |