| NPI | 1023389608 |
|---|---|
| Doing Business As | JAN'S BRA SHOP |
| Entity Type | Organization |
| Authorized Contact | JANICE S. MORRISSETTE Owner 251-458-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: AL 510-56006) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |