Organization
JANET R. BRADY
Active
Other names
Pink Ribbon Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANET R BRADY (OWNER)
(404) 519-6944
Entity
Organization
Contact information
Practice address
4696 BRADLEY CT, DOUGLASVILLE, GA 30135-5085
(404) 519-6944
Mailing address
4696 BRADLEY CT, DOUGLASVILLE, GA 30135-5085
(404) 519-6944
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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