SUNRISE SHOES & PEDORTHIC SERVICE NPI 1730254145

NPI Information

SUNRISE SHOES & PEDORTHIC SERVICE is a specialist in Sacramento, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUNRISE SHOES & PEDORTHIC SERVICE NPI is 1730254145. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3127 FITE CIR
SUITE G
SACRAMENTO, CA
ZIP 95827-803
Phone: (916) 368-7700
Fax: (916) 368-7717

The provider's authorized official is Michelle Nicholle Durante .
The authorized official title is Manager and has the following contact phone number (916) 368-7700.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 4/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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