Organization
ALEX'S COMFORT SHOES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX D RUDAN (CEO)
(916) 967-5858
Entity
Organization
Contact information
Practice address
5333 SUNRISE BLVD, FAIR OAKS, CA 95628-3539
(916) 967-5858
(916) 967-1009
Mailing address
5333 SUNRISE BLVD, FAIR OAKS, CA 95628-3539
(916) 967-5858
(916) 967-1009
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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