TIDEWATER FOOT CENTER LLC

NEWPORT NEWS, VA
NPI1891137048
Entity TypeOrganization
Authorized ContactSTEVEN THOU PRAK
Sole Owner
757-597-7699
Organization Subpart ?No
Primary Taxonomy213ES0131X 
(Licence: VA  0103301081)
Enumeration Date2013-07-29
Last Update Date2013-12-09
Business Address
TIDEWATER FOOT CENTER LLC
126 MONARCH DR
NEWPORT NEWS, VA 23602-6884
Phone number: 757-597-1520
Mailing Address
TIDEWATER FOOT CENTER LLC
11747 JEFFERSON AVE STE 2A
NEWPORT NEWS, VA 23606-4402
Phone number: 757-597-7699
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