Organization
MONUMENT IND.
Active
Other names
Monument Wigs & Breastforms
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIE KAY BERRY RFM (FITTER)
(970) 257-1317
Entity
Organization
Contact information
Practice address
241 GRAND AVE, SUITE #6, GRAND JUNCTION, CO 81501-2262
(970) 257-1317
(970) 242-2406
Mailing address
241 GRAND AVE, SUITE # 6, GRAND JUNCTION, CO 81501-2262
(970) 257-1317
(970) 242-2406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
23917970000
CO
Other
Enumeration date
02/02/2007
Last updated
03/19/2009
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