NPI | 1740221357 |
---|---|
Doing Business As | NEW IMAGE BREAST PROSTHESIS |
Entity Type | Organization |
Authorized Contact | MARJEANNE ROSE FISHER Owner 513-867-1184 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH rn137249) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2008-06-18 |