Organization
ANNS LINGERIE AND MASTECTOMY CENTER INC
Active
Other names
Ann's Bra Shop, Ann's Bra Ship
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE C BURNS RFM, CFM (PRESIDENT/OWNER)
(314) 878-4144
Entity
Organization
Contact information
Practice address
623 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7500
(573) 803-3885
Mailing address
13483 OLIVE BLVD, CHESTERFIELD, MO 63017-3166
(314) 878-4144
(314) 878-9146
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
10850686
MO
335E00000X
Prosthetic/Orthotic Supplier
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Other
Enumeration date
11/09/2016
Last updated
09/06/2023
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