Organization
JANICE S. MORRISSETTE
Active
Other names
jan's bra shop
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE S. MORRISSETTE RN (OWNER)
(251) 458-7241
Entity
Organization
Contact information
Practice address
7000 AIRPORT BLVD, MOBILE, AL 36608-3713
(251) 458-7241
(251) 457-6089
Mailing address
953 SUPER ST, MOBILE, AL 36617-2929
(251) 458-7241
(251) 457-6089
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
510-56006
AL
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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