NPI | 1245698984 |
---|---|
Doing Business As | AT LAST... BRAS, A MASTECTOMY BOUTIQUE |
Entity Type | Organization |
Authorized Contact | BENITA LEICHELLE KIMBALL Owner 916-480-9501 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CA c52184) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2024-03-26 |