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Organization

AESTHETIC PROSTHETICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEFAN JOHANNES KNAUSS MAMS, CPO (PRESIDENT)
(626) 345-0050
Entity
Organization

Contact information

Practice address
1095 N ALLEN AVE, PASADENA, CA 91104-3204
(626) 345-0050
(626) 345-0052
Mailing address
1095 N ALLEN AVE, PASADENA, CA 91104-3204
(626) 345-0050
(626) 345-0052

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01364
VA

Other

Enumeration date
12/30/2010
Last updated
12/30/2010
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