Madeline Rose Mastectomy Boutique, LLC
NPI #1316693765 in Vestal, New York
Provider Information
- NPI Number
- 1316693765
- Entity Type
- Organization
- Organization Name
- Madeline Rose Mastectomy Boutique, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 24, 2022
- Last Updated
- Jul 26, 2022
Practice Location
Authorized Official
- Name
- MS. JAMIE LEIGH WALCK, CMF
- Title
- OWNER
- Phone
- (607) 296-2021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mastectomy Fitter |
| Durable Medical Equipment & Medical Supplies |
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