| NPI | 1558760611 |
|---|---|
| Doing Business As | A BEAUTIFUL YOU MASTECTOMY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | LEANNE M KOVICK Owner/Operator 208-985-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: ID CFm02746) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-11-12 |