Organization
ROBERTA'S LOVELY LADIES BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A LOGAN (OWNER)
(618) 467-0095
Entity
Organization
Contact information
Practice address
603 W. DELMAR, ALTON, IL 62002
(618) 467-0640
Mailing address
603 W. DELMAR, ALTON, IL 62002
(618) 467-0640
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us