| NPI | 1821289547 |
|---|---|
| Doing Business As | FANCY FOOTWORK PODIATRY |
| Entity Type | Organization |
| Authorized Contact | THERESE NICOLLE LOSI President 623-640-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: AZ 632) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2016-03-11 |