Organization
SHARI'S SHOES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHARON FRANCES NUERAKIS CPED (BOARD CERTIFIED PEDORTHIST)
(203) 753-7463
Entity
Organization
Contact information
Practice address
1420 N MAIN ST, WATERBURY, CT 06704-2713
(203) 753-7463
(203) 753-7463
Mailing address
1420 N MAIN ST, WATERBURY, CT 06704-2713
(203) 753-7463
(203) 753-7463
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
9948
—
335E00000X
Prosthetic/Orthotic Supplier
9948
—
Other
Enumeration date
09/29/2005
Last updated
12/17/2007
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