| NPI | 1134565971 |
|---|---|
| Doing Business As | MARIE ANGELIQUE BRA AND LINGERIE |
| Entity Type | Organization |
| Authorized Contact | NAOMI FITZPATRICK Owner 636-949-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2014-09-16 |