| NPI | 1255330262 |
|---|---|
| Doing Business As | DELL'S BRA BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | JACKI WOBSER President 703-691-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2020-08-22 |