Lifeshapes Boutique INC
NPI #1316047350 in Brandon, Florida
Provider Information
- NPI Number
- 1316047350
- Entity Type
- Organization
- Organization Name
- Lifeshapes Boutique INC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MRS. FELICIA NORIEGA DICKEY
- Title
- OWNER
- Phone
- (813) 629-6331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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