Boutique De Lingerie
NPI #1477742369 in Hollister, California
Provider Information
- NPI Number
- 1477742369
- Entity Type
- Organization
- Organization Name
- Boutique De Lingerie
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Oct 17, 2007
- Last Updated
- Oct 17, 2007
Practice Location
- Address
- 650 SAN BENITO ST STE 150
- City
- Hollister
- State
- California
- ZIP Code
- 95023-3968
- Phone
- (831) 635-0722
Authorized Official
- Name
- JEANNINE DIVINCENZO
- Title
- OWNER
- Phone
- (831) 635-0722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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