Organization
ODERMATT ENTERPRISES INC
Active
Other names
SHOES THAT FIT
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI BARBARA ODERMATT (OWNER)
(209) 337-0076
Entity
Organization
Contact information
Practice address
2401 E ORANGEBURG AVE, SUITE 535, MODESTO, CA 95355-3351
(209) 337-0076
Mailing address
2210 PACIFIC AVE, STOCKTON, CA 95204-5334
(209) 337-0076
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191089
KAISER VENDOR NUMBER
CA
Enumeration date
12/06/2006
Last updated
06/18/2008
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