| NPI | 1619222882 |
|---|---|
| Doing Business As | JAY ANN INTIMATES |
| Entity Type | Organization |
| Authorized Contact | FARRELL FRIEDENBERG Owner 215-942-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224900000X Mastectomy Fitter (Licence: PA 6000007318) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2024-08-21 |