Organization
ETTER ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE N ETTER (PRESIDENT)
(540) 342-1796
Entity
Organization
Contact information
Practice address
2122 COLONIAL AVE SW, ROANOKE, VA 24015-3205
(540) 342-1796
Mailing address
2122 COLONIAL AVE SW, ROANOKE, VA 24015-3205
(540) 342-1796
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1101000741
VA
Other
Enumeration date
01/09/2008
Last updated
02/27/2008
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