Organization
ALEX'S COMFORT SHOES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELLE N DURANTE (MANAGER)
(916) 642-3015
Entity
Organization
Contact information
Practice address
5333 SUNRISE BLVD, FAIR OAKS, CA 95628-3539
(916) 642-3015
Mailing address
5333 SUNRISE BLVD, FAIR OAKS, CA 95628-3539
(916) 642-3015
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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