| NPI | 1538314539 |
|---|---|
| Other Name | MYSHELLIE'S LINGERIE |
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN SMILEY Co Owner 870-530-3792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 150873) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: LA 150873) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |