NPI | 1932198546 |
---|---|
Doing Business As | JOSEPHINE'S POST MASTECTOMY SHOP |
Entity Type | Organization |
Authorized Contact | JO P DYE President 513-745-9501 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 31226583) |
Enumeration Date | 2005-10-17 |
Last Update Date | 2008-06-17 |