Italy Shoes and Boutique
NPI #1063695633 in Cerritos, California
Provider Information
- NPI Number
- 1063695633
- Entity Type
- Organization
- Organization Name
- Italy Shoes and Boutique
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 6, 2007
- Last Updated
- Dec 6, 2007
Practice Location
- Address
- 11815 SOUTH ST
- City
- Cerritos
- State
- California
- ZIP Code
- 90703-6825
- Phone
- (562) 860-4634
Authorized Official
- Name
- MRS. SANDY SOO CHUN
- Title
- MANAGER
- Phone
- (562) 860-4634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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