# SILHOUETTEPOST SURGICAL & CUSTOM LINGERIE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871061895
- **Authorized official:** MS. BENTA JEAN FRIES ROBERTSON CMF (AUTHORIZED ADMINISTRATOR)
- **Authorized official phone:** (559) 326-8491

## Contact information

- **Practice address:** 7055 N MAPLE AVE STE 108, FRESNO, CA 93720-8012
- **Practice address phone:** (559) 326-8491
- **Practice address fax:** (559) 765-4405
- **Mailing address:** 10490 E CEDARWOOD CT, CLOVIS, CA 93619-4637
- **Mailing address phone:** (559) 326-8491
- **Mailing address fax:** (559) 765-4405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 11/07/2018