Intimate Illusions
NPI #1770707580 in Iron Mountain, Michigan
Provider Information
- NPI Number
- 1770707580
- Entity Type
- Organization
- Organization Name
- Intimate Illusions
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 12, 2007
- Last Updated
- Mar 27, 2008
Practice Location
- Address
- 333 S STEPHENSON AVE
- City
- Iron Mountain
- State
- Michigan
- ZIP Code
- 49801-2942
- Phone
- (906) 776-2190
Authorized Official
- Name
- JEAN ELMER SIMONE
- Title
- PRESIDENT MASTECTOMY FITTER
- Phone
- (906) 776-2190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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