Organization
BAMBOLINAS
Active
Other names
Bambolina's Bra & Lingerie Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA RENE DEL BIAGGIO CMF (CEO)
(916) 613-8867
Entity
Organization
Contact information
Practice address
149 IRON POINT RD, FOLSOM, CA 95630-9000
(916) 581-6272
(916) 461-9734
Mailing address
149 IRON POINT RD, FOLSOM, CA 95630-9000
(916) 581-6272
(916) 461-9734
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
02/15/2023
Last updated
03/20/2025
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