| NPI | 1477710234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNI CLANCY LANG Owner/Mastectomy Fitter 415-454-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-10-01 |