| NPI | 1376939462 |
|---|---|
| Other Name | YONGS MASTECTOMY PRODUCTS |
| Entity Type | Organization |
| Authorized Contact | YONG S CORCORAN President 321-638-8832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL 1580119145924) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 171W00000X Contractor (Licence: FL 1580119145924) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2019-09-27 |