| NPI | 1154045888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA TOMANY Owner 715-350-7174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-27 |
| Last Update Date | 2024-02-29 |