NPI | 1801907217 |
---|---|
Doing Business As | PINK RIBBON MASTECTOMY BOUTIQUE |
Entity Type | Organization |
Authorized Contact | ELIZABETH RUTH LOTZ Owner/ V.P. 715-845-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-07-10 |