| NPI | 1154399806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE DANIELSON President, Cert Breast Prostitic Fi 785-273-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: KS NA) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |