RONNELL ANTHONY UPSHUR

WILMINGTON, DE
NPI1912515776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies222Z00000X Orthotist
Enumeration Date2020-07-17
Last Update Date2020-07-17
Business Address
Mr. RONNELL ANTHONY UPSHUR CPO
1107 MCKENNANS CHURCH RD
WILMINGTON, DE 19808-2128
Phone number: 734-620-7595
Mailing Address
Mr. RONNELL ANTHONY UPSHUR CPO
1107 MCKENNANS CHURCH RD
WILMINGTON, DE 19808-2128
Phone number: 734-620-7595