NPI | 1760630644 |
---|---|
Doing Business As | GIRLFRIENDS...THE BRA SPECIALISTS |
Entity Type | Organization |
Authorized Contact | KATHLEEEN J. GLASCOCK Owner 815-780-8151 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2008-09-04 |
Last Update Date | 2010-07-29 |