Organization
AWESOMFIT, INC
Active
Other names
Awesomfit Inc
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA K. LARBIE (PRESIDENT)
(209) 522-9911
Entity
Organization
Contact information
Practice address
900 S FAIRMONT AVE STE C, LODI, CA 95240-5143
(209) 334-9911
Mailing address
5331 PIRRONE RD, SALIDA, CA 95368-9089
(209) 735-0138
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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