Organization
GOATEXTENSIONS
Active
Organization
GOATEXTENSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAKEENA PRINCE (OWNER)
(319) 774-9172
Entity
Organization
Contact information
Practice address
1121 3RD ST SW APT 5, CEDAR RAPIDS, IA 52404-2166
(319) 774-9172
Mailing address
1121 3RD ST SW APT 5, CEDAR RAPIDS, IA 52404-2166
(319) 774-9172
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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