Organization
JUDYS INTIMATE APPAREL INC
Active
Organization
JUDYS INTIMATE APPAREL INC
Active
Other names
Judy's Intimate Apparel
Organization subpart
No
Provider details
NPI number
Authorized official
NED FORREST RITCHIE (PRESIDENT)
(360) 280-7755
Entity
Organization
Contact information
Practice address
4538 S PINE ST, TACOMA, WA 98409-6527
(253) 474-4404
(253) 474-7555
Mailing address
4538 S PINE ST, TACOMA, WA 98409-6527
(253) 474-4404
(253) 474-7555
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011825001
GROUP HEALTH
WA
01
—
0240JU
REGENCE
WA
05
—
9425000
—
WA
Enumeration date
09/20/2006
Last updated
11/24/2010
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