Organization
SANDRA L VITALE
Active
Other names
TURLOCK ORTHOTICS & PROSTHETICS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY L VITALE (OWNER)
(209) 634-9021
Entity
Organization
Contact information
Practice address
130 REGIS ST, SUITE A, TURLOCK, CA 95382-1129
(209) 634-9021
(209) 634-9023
Mailing address
130 REGIS ST, SUITE A, TURLOCK, CA 95382-1129
(209) 634-9021
(209) 634-9023
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XB0006060
—
CA
Enumeration date
09/06/2006
Last updated
06/17/2008
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