Lady In Pink Mastectomy Boutique
Prosthetic/Orthotic Supplier in Corpus Christi, TX. Organization (NPI-2).
NPI number1124391040
StatusActive
Last updated in NPPESFeb 23, 2012
Details
- NPI
- 1124391040
- Entity type
- Organization (NPI-2)
- Legal business name
- Lady In Pink Mastectomy Boutique
- Organization subpart
- No
- Enumeration date
- Feb 23, 2012
- Last updated
- Feb 23, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
1241 Nile DriveCorpus Christi, TX 78412
Phone 361-334-3476 · Fax 361-334-3461
Mailing address
1241 Nile DriveCorpus Christi, TX 78412
Phone 361-334-3476 · Fax 361-334-3461
Authorized official
Sharon Kay Magill
Office Manager/Biller
3613343476
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