Wva Diabetic Supplies LLC
NPI #1215171764 in Shinnston, West Virginia
Provider Information
- NPI Number
- 1215171764
- Entity Type
- Organization
- Organization Name
- Wva Diabetic Supplies LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 28, 2009
- Last Updated
- Nov 30, 2012
Practice Location
- Address
- 409 S PIKE ST
- City
- Shinnston
- State
- West Virginia
- ZIP Code
- 26431-1125
- Phone
- (304) 592-1870
Authorized Official
- Name
- MRS. DEBRA MARIE PRICE
- Title
- OWNER/MANAGER
- Phone
- (304) 592-3340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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