E-Dee's Pennyrich Bra Salon
NPI #1700043999 in Allen Park, Michigan
Provider Information
- NPI Number
- 1700043999
- Entity Type
- Organization
- Organization Name
- E-Dee's Pennyrich Bra Salon
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 16, 2008
- Last Updated
- May 16, 2008
Practice Location
- Address
- 8043 ALLEN RD
- City
- Allen Park
- State
- Michigan
- ZIP Code
- 48101-1705
- Phone
- (313) 381-0810
Authorized Official
- Name
- MRS. EDITH SUPANICH
- Title
- OWNER
- Phone
- (313) 383-3428
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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