| NPI | 1093960619 |
|---|---|
| Doing Business As | DBA BRA BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | DORIS WEST MENG Owner 702-362-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV C07011400034776) |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |