| NPI | 1003107509 |
|---|---|
| Doing Business As | ROSEBUDS MASTECTOMY SALON |
| Entity Type | Organization |
| Authorized Contact | BURTON CHALKLEY ROSS President 941-456-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |