| NPI | 1184669707 |
|---|---|
| Doing Business As | LADY LIKE MASTECTOMY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | MARIA E CORTINAS Managing Member 210-655-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2015-04-23 |