Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers |
| NPI # | 1558741934 |
| LBN Legal business name | HAPPY FEET CUSTOM SHOES AND MEDICAL SUPPLIES |
| Authorized official | CORNELIUS YANCY - (OWNER/PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/01/2015 |
| Last updated | 06/01/2015 - About 11 years ago |
| Identifiers | n/a |
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