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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