| NPI | 1285331793 |
|---|---|
| Doing Business As | BAMBOLINA'S BRA & LINGERIE BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | THERESA RENE DEL BIAGGIO CEO 916-613-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224900000X Mastectomy Fitter |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-08-03 |