Mommy & Me Boutique, Inc.

NPI #1235372475 in Effingham, Illinois

Provider Information

NPI Number
1235372475
Entity Type
Organization
Organization Name
Mommy & Me Boutique, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 17, 2009
Last Updated
Jan 27, 2011

Practice Location

Address
314 W JEFFERSON AVE
ZIP Code
62401-2352
Phone
(217) 342-4774

Authorized Official

Name
MRS. NICHOLE LYNN DAVIS, CLC
Title
OWNER
Phone
(217) 342-4774

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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