Organization
PRINCESS CORSET & LINGERIE SHOP II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE SUSAN TOWNSEND (OWNER/MEMBER)
(203) 755-3640
Entity
Organization
Contact information
Practice address
900 STRAITS TURNPIKE, SUITE 1 G, MIDDLEBURY, CT 06762
(203) 755-3640
(203) 597-9536
Mailing address
900 STRAITS TURNPIKE, SUITE 1 G, MIDDLEBURY, CT 06762
(203) 755-3640
(203) 597-9536
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
01/10/2018
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