The Good Wife Lingerie LLC

NPI #1336907443 in Glasgow, Kentucky

Provider Information

NPI Number
1336907443
Entity Type
Organization
Organization Name
The Good Wife Lingerie LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 12, 2024
Last Updated
Aug 7, 2024

Practice Location

Address
107 E MAIN ST
ZIP Code
42141-2835
Phone
(615) 440-3264

Authorized Official

Name
PATRICIA DAWN BURTON, CMF
Title
CEO, OWNER
Phone
(615) 440-3264

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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