Organization
CUSTOM CARBON COMPOSITE CREATIONS
Active
Other names
Center for Independent Rehabilitative Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE ROGERS C.P.O. (PRESIDENT)
(209) 845-2930
Entity
Organization
Contact information
Practice address
6490 S MCCARRAN BLVD, SUITE D-38, RENO, NV 89509-6165
(775) 823-9669
(775) 823-9931
Mailing address
6490 S MCCARRAN BLVD, SUITE D-38, RENO, NV 89509-6165
(775) 823-9669
(775) 823-9931
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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