NPI | 1013014240 |
---|---|
Doing Business As | CAROLS POST MASTECTOMY SPEC |
Entity Type | Organization |
Authorized Contact | JENNNIFER FLOWERS Owner 435-688-0452 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-09-20 |
Last Update Date | 2021-08-16 |