Organization
MARIE ANGELIQUE
Active
Other names
Marie Angelique Bra and Lingerie
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI FITZPATRICK (OWNER)
(636) 949-2348
Entity
Organization
Contact information
Practice address
220 N MAIN ST, SAINT CHARLES, MO 63301-2829
(636) 949-2348
Mailing address
220 N MAIN ST, SAINT CHARLES, MO 63301-2829
(636) 949-2348
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
09/16/2014
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