| NPI | 1174660435 |
|---|---|
| Doing Business As | JEWELS GARDEN ONCOLOGY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | DENNIS LARAWAY CFO 602-747-4000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-12-23 |