| NPI | 1740438696 |
|---|---|
| Doing Business As | RECREATE MASTECTOMY PRODUCTS & BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | KAREN J WILLIAMS Treasurer 406-549-0921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2009-07-24 |