| NPI | 1073932190 |
|---|---|
| Doing Business As | MARKET STREET BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANNE JACKSON President/Owner 410-742-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2015-01-16 |