At Last Bra and Lingerie Boutique LLC
NPI #1245698984 in Sacramento, California
Provider Information
- NPI Number
- 1245698984
- Entity Type
- Organization
- Organization Name
- At Last Bra and Lingerie Boutique LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Feb 9, 2016
- Last Updated
- Apr 4, 2025
Practice Location
- Address
- 1329 HOWE AVE STE 101
- City
- Sacramento
- State
- California
- ZIP Code
- 95825-3363
- Phone
- (916) 480-9501
Authorized Official
- Name
- BENITA LEICHELLE KIMBALL, CMF
- Title
- OWNER
- Phone
- (916) 480-9501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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