| NPI | 1518110584 |
|---|---|
| Doing Business As | MOMS IN CLOGS/POLLYWOG BABY |
| Entity Type | Organization |
| Authorized Contact | ANNETTE COTTRELL Owner 206-782-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602361761) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |