Organization
SHOES & THINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA L JACKSON CPED (CERTIFIED PEDORTHIST)
(559) 736-3193
Entity
Organization
Contact information
Practice address
323 N D ST, PORTERVILLE, CA 93257-3629
(559) 782-3472
Mailing address
323 N D ST, PORTERVILLE, CA 93257-3629
(559) 782-3472
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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