Organization
COCO'S LINGERIE BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BERTHIAUME (OWNER/MANAGER)
(808) 561-8185
Entity
Organization
Contact information
Practice address
35 KAINEHE ST, #102, KAILUA, HI 96734-6127
(808) 262-6752
Mailing address
35 KAINEHE ST, #102, KAILUA, HI 96734-6127
(808) 262-6752
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
W59039495-01
HI
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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