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Organization

SHOBY SHOES LLC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. INGRID VENTURA B.S. (EXECUTIVE DIRECTOR)
(391) 942-7288
Entity
Organization

Contact information

Practice address
11514 GOODLOE RD, SILVER SPRING, MD 20906-4838
(301) 706-7796
(301) 942-7288
Mailing address
11514 GOODLOE RD, SILVER SPRING, MD 20906-4838
(301) 706-7796
(301) 942-7288

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/29/2009
Last updated
04/29/2009
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