Organization
GIRLS IN PINK MASTECTOMY PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA HERNANDEZ (PRESIDENT)
(305) 386-6362
Entity
Organization
Contact information
Practice address
15894 SW 85TH LN, MIAMI, FL 33193-5208
(305) 386-6362
(305) 386-6362
Mailing address
15894 SW 85TH LN, MIAMI, FL 33193-5208
(305) 386-6362
(305) 386-6362
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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