Organization
PINK RIBBON BOUTIQUE CHIPPEWA VALLEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIANNE FOX PT (OWNER)
(715) 226-1416
Entity
Organization
Contact information
Practice address
2829 COUNTY HIGHWAY I STE 3, CHIPPEWA FALLS, WI 54729-2678
(715) 492-4068
(715) 723-4451
Mailing address
2829 COUNTY HIGHWAY I STE 3, CHIPPEWA FALLS, WI 54729-2678
(715) 492-4068
(715) 723-4451
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NOT ISSUED
—
Enumeration date
11/01/2022
Last updated
11/01/2022
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