Organization
EMPOWERED INTIMATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A. PAVSEK (PRESIDENT)
(510) 782-5745
Entity
Organization
Contact information
Practice address
1338 W WINTON AVE, HAYWARD, CA 94545-1408
(510) 782-5745
(510) 782-5748
Mailing address
1338 W WINTON AVE, HAYWARD, CA 94545-1408
(510) 782-5745
(510) 782-5748
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
146373
CA
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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