Organization · Type 2 NPI
Carol's Personal Mastectomy Boutique of Southern Utah LLC
Durable Medical Equipment & Medical Supplies · St. George, UT
Practice location
1490 E Foremaster Dr Ste 310
St. George, UT 84790-4504
Fax (435) 688-0453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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About NPI 1013014240
Carol's Personal Mastectomy Boutique of Southern Utah LLC's National Provider Identifier is 1013014240, issued on Sep 20, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in St. George, UT. The record was last updated on Aug 16, 2021.