Organization
CUSTOM CARBON COMPOSITE CREATIONS
Active
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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