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Carol's Personal Mastectomy Boutique Of Southern Utah Llc
Durable Medical Equipment & Medical Supplies in St George, Utah
NPI 1013014240

Carol's Personal Mastectomy Boutique Of Southern Utah Llc is a Durable Medical Equipment & Medical Supplies based in St George, UT. Carol's Personal Mastectomy Boutique Of Southern Utah Llc practices in St George, UT. The NPI Number for Carol's Personal Mastectomy Boutique Of Southern Utah Llc is 1013014240 and holds a License No. (Utah).

The current practice location address for Carol's Personal Mastectomy Boutique Of Southern Utah Llc is 1490 E Foremaster Dr Ste 310, St George, UT and can be reached out via phone at 435-688-0452 and via fax at 435-688-0453.

Location: 1490 E Foremaster Dr Ste 310, St George, UT, 84790-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013014240
Provider Name
Carol's Personal Mastectomy Boutique Of Southern Utah Llc
Credential
Provider Entity Type
Organization
Address
1490 E Foremaster Dr Ste 310, St George, UT, 84790-4504
Phone Number
435-688-0452
Fax Number
435-688-0453
Provider Enumeration Date
09/20/2006
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1490 E Foremaster Dr Ste 310
City
St George
State
Utah
Zip
84790-4504
Phone Number
435-688-0452
Fax Number
435-688-0453
person
Provider Business Mailing Address Details
Address
1490 E Foremaster Dr Ste 310
City
St George
State
Utah
Zip
84790-4504
Phone Number
435-688-0452
Fax Number
435-688-0453
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
(Utah)
Definition
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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