Organization
ALETA'S BRAS & LINGERIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALETA WILLIAMS (OWNER)
(316) 682-0132
Entity
Organization
Contact information
Practice address
5601 E CENTRAL AVE, SUITE A, WICHITA, KS 67208-4245
(316) 682-0132
(316) 612-6970
Mailing address
5601 E CENTRAL AVE, SUITE A, WICHITA, KS 67208-4245
(316) 682-0132
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
KS
335E00000X
Prosthetic/Orthotic Supplier
—
KS
Other
Enumeration date
08/25/2008
Last updated
10/01/2008
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