Organization
GINOS SHOE STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT GINOCCHETTI (OWNER)
(570) 675-2029
Entity
Organization
Contact information
Practice address
2437 SR 309 HWY, DALLAS, PA 18612-9251
(570) 675-2029
Mailing address
2437 SR 309 HWY, DALLAS, PA 18612-9251
(570) 675-2029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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