Organization
PROFESSIONAL FASHION UNIFORMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE MARIE STONE R.N. (OWNER)
(573) 651-3513
Entity
Organization
Contact information
Practice address
46 S PLAZA WAY, CAPE GIRARDEAU, MO 63703-5809
(573) 651-3513
(573) 651-8990
Mailing address
46 S PLAZA WAY, CAPE GIRARDEAU, MO 63703-5809
(573) 651-3513
(573) 651-8990
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
335E00000X
MO
Other
Enumeration date
11/01/2006
Last updated
09/12/2007
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