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Roberta's Lovely Ladies Boutique
Mastectomy Fitter in Alton, Illinois
NPI 1174983050

Roberta's Lovely Ladies Boutique is a Mastectomy Fitter based in Alton, IL. Roberta's Lovely Ladies Boutique practices in Alton, IL. The NPI Number for Roberta's Lovely Ladies Boutique is 1174983050 and holds a License No. (Illinois).

The current practice location address for Roberta's Lovely Ladies Boutique is 603 W. Delmar, Alton, IL and can be reached out via phone at 618-467-0640.

Location: 603 W. Delmar, Alton, IL, 62002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174983050
Provider Name
Roberta's Lovely Ladies Boutique
Credential
Provider Entity Type
Organization
Address
603 W. Delmar, Alton, IL, 62002
Phone Number
618-467-0640
Fax Number
Provider Enumeration Date
03/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
603 W. Delmar
City
Alton
State
Illinois
Zip
62002
Phone Number
618-467-0640
Fax Number
person
Provider Business Mailing Address Details
Address
603 W. Delmar
City
Alton
State
Illinois
Zip
62002
Phone Number
618-467-0640
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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