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Organization

TENNI-MOC'S SHOE STORE INC

Active
Other names
TENNI-MOC'S
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW MALTEZOS C.PED (CFO)
(562) 429-7777
Entity
Organization

Contact information

Practice address
6536 E SPRING ST, LONG BEACH, CA 90815-1554
(562) 429-7777
Mailing address
6536 E SPRING ST, LONG BEACH, CA 90815-1554
(562) 429-7777

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/02/2020
Last updated
07/02/2020
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