| NPI | 1518051267 |
|---|---|
| Doing Business As | WOMEN'S BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE COCHRAN Billing Manager 334-712-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2015-11-05 |