Organization
ANNS LINGERIE AND MASTECTOMY CENTER INC
Active
Parent organization
ANN'S LINGERIE AND MASTECTOMY CENTER, INC
Other names
Ann's Bra Shop
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANN'S LINGERIE AND MASTECTOMY CENTER, INC
Authorized official
CATHERINE BURNS (PRESIDENT/OWNER)
(314) 878-4144
Entity
Organization
Contact information
Practice address
210 HARTMAN LN, O FALLON, IL 62269-1779
(618) 624-8010
(318) 624-8131
Mailing address
13483 OLIVE BLVD, CHESTERFIELD, MO 63017-3166
(314) 878-4144
(314) 878-9146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/11/2011
Last updated
11/30/2011
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