NPI | 1154033322 |
---|---|
Doing Business As | WONDERFULLY MADE MASTECTOMY CARE |
Entity Type | Organization |
Authorized Contact | JULIE A LEWIS Owner/Certified Fitter 972-982-7066 |
Organization Subpart ? | No |
Primary Taxonomy | 224900000X Mastectomy Fitter |
Enumeration Date | 2022-12-20 |
Last Update Date | 2022-12-20 |