| NPI | 1609054477 |
|---|---|
| Doing Business As | BARBARA'S MASTECTOMY BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | LOUIS GOLDSTEIN Co Owner 602-980-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |