| NPI | 1790784122 |
|---|---|
| Doing Business As | THE ESSENTIAL WOMAN BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL L HARRELL Treasurer 509-363-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602378694) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |