| NPI | 1528216900 |
|---|---|
| Doing Business As | NEW IMAGE |
| Entity Type | Organization |
| Authorized Contact | CASSI CORINN WIGINGTON Certified Fitter Of Mastectomy 402-333-7502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-11-24 |