Mizz Rae's LLC
NPI #1528242237 in West Roxbury, Massachusetts
Provider Information
- NPI Number
- 1528242237
- Entity Type
- Organization
- Organization Name
- Mizz Rae's LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Dec 18, 2007
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 5278 WASHINGTON ST.
- City
- West Roxbury
- State
- Massachusetts
- ZIP Code
- 02132
- Phone
- (617) 327-1041
Authorized Official
- Name
- MRS. MARNIE R HARRIS
- Title
- CEO - EXECUTIVE
- Phone
- (617) 327-1041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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