Mastec Womens Boutique
NPI #1194888628 in Portage, Michigan
Provider Information
- NPI Number
- 1194888628
- Entity Type
- Organization
- Organization Name
- Mastec Womens Boutique
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Oct 19, 2016
Practice Location
Authorized Official
- Name
- VIRGIE AMMERMAN
- Title
- CEO/PRESIDENT
- Phone
- (269) 598-7765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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