Organization
ODERMATT ENTERPRISES INC
Active
Other names
SHOES THAT FIT
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI BARBARA ODERMATT (OWNER)
(209) 337-0076
Entity
Organization
Contact information
Practice address
8649 ELK GROVE BLVD, ELK GROVE, CA 95624-1790
(209) 337-0076
(209) 463-4897
Mailing address
2210 PACIFIC AVE, STOCKTON, CA 95204-5334
(209) 337-0076
(209) 463-4897
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191089
KAISER VENDOR NUMBER
CA
Enumeration date
10/02/2006
Last updated
09/08/2008
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