Organization
SILHOUETTEPOST SURGICAL & CUSTOM LINGERIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BENTA JEAN FRIES ROBERTSON CMF (AUTHORIZED ADMINISTRATOR)
(559) 326-8491
Entity
Organization
Contact information
Practice address
7055 N MAPLE AVE STE 108, FRESNO, CA 93720-8012
(559) 326-8491
(559) 765-4405
Mailing address
10490 E CEDARWOOD CT, CLOVIS, CA 93619-4637
(559) 326-8491
(559) 765-4405
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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