Custom Carbon Composite Creations

NPI #1427321769 in Reno, Nevada

Provider Information

NPI Number
1427321769
Entity Type
Organization
Organization Name
Custom Carbon Composite Creations
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 16, 2012
Last Updated
Feb 16, 2012

Practice Location

Address
6490 S MCCARRAN BLVD
Address 2
SUITE D-38
City
Reno
State
Nevada
ZIP Code
89509-6165
Phone
(775) 823-9669

Authorized Official

Name
EDDIE ROGERS, C.P.O.
Title
PRESIDENT
Phone
(209) 845-2930

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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