Individual
MYRA WATERS
Active
Individual
MYRA WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFO
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CFO2726
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7795216
CERTIFIED ORTHOTIC FITTER
NC
Enumeration date
07/10/2007
Last updated
07/10/2007
Update your record
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