| NPI | 1477792653 |
|---|---|
| Doing Business As | SILHOUETTE MASTECTOMY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | JULIE C BEACH Owner 757-595-9800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: VA 002706) |
| Enumeration Date | 2009-02-12 |
| Last Update Date | 2009-02-12 |