B & B Lingerie Company, INC.
Prosthetic/Orthotic Supplier in Boise, ID. Organization (NPI-2).
NPI number1912123795
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1912123795
- Entity type
- Organization (NPI-2)
- Legal business name
- B & B Lingerie Company, INC.
- Organization subpart
- No
- Enumeration date
- Apr 18, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Other names
- Bosom Buddy Breast Forms (Doing Business As)
Practice location
2417 Bank DrSuite 201
Boise, ID 83705-2570
Phone 208-343-9696 · Fax 208-343-9266
Mailing address
Po Box 5731Boise, ID 83705-0731
Phone 208-343-9696 · Fax 208-343-9266
Authorized official
Stacie Q Neely
President
2083439696
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