| NPI | 1972640332 |
|---|---|
| Doing Business As | GENESIS WOMEN'S BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN CFO 740-454-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2018-10-18 |