Organization
DORIS W MENG BRA BOUTIQUE
Active
Other names
dba Bra Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DORIS WEST MENG (OWNER)
(702) 362-1579
Entity
Organization
Contact information
Practice address
2375 S JONES BLVD, SUITE 14, LAS VEGAS, NV 89146-3169
(702) 362-1579
(702) 368-4609
Mailing address
2375 S JONES BLVD, SUITE 14, LAS VEGAS, NV 89146-3169
(702) 362-1579
(702) 368-4609
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C07011400034776
NV
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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