| 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 |