Magique Boutique LLC
NPI #1144059437 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1144059437
- Entity Type
- Organization
- Organization Name
- Magique Boutique LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 26, 2024
- Last Updated
- Jul 26, 2024
Practice Location
- Address
- 760 WHALERS WAY STE C120
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80525-3372
- Phone
- (970) 230-5780
Authorized Official
- Name
- JANE MARDIS
- Title
- PRESIDENT
- Phone
- (970) 230-5780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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