Blue Goddess LLC
NPI #1235960378 in Kalispell, Montana
Provider Information
- NPI Number
- 1235960378
- Entity Type
- Organization
- Organization Name
- Blue Goddess LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 10, 2024
- Last Updated
- Aug 10, 2024
Practice Location
Authorized Official
- Name
- JANAYA HOLMES
- Title
- PRESIDENT
- Phone
- (410) 989-7661
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Prosthetic/Orthotic Supplier |
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