| NPI | 1174869937 |
|---|---|
| Doing Business As | AUDREY'S A BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | VICTORIA Z FERRO Member/Manager 509-324-8612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: WA 603 257 524) |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2012-12-26 |