Organization
A LADYS TOUCH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANNI CLANCY LANG ABC CERTIFIED (OWNER/MASTECTOMY FITTER)
(415) 454-6058
Entity
Organization
Contact information
Practice address
612 D ST, SAN RAFAEL, CA 94901-3708
(415) 454-6058
Mailing address
PO BOX 478, FAIRFAX, CA 94978-0478
(415) 454-6058
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/20/2008
Last updated
10/01/2008
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