Organization
ANNS LINGERIE AND MASTECTOMY CENTER INC
Active
Other names
Ann's Bra Shop
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
1221 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3405
(636) 332-6700
(636) 332-6811
Mailing address
13483 OLIVE BLVD, CHESTERFIELD, MO 63017-3166
(314) 878-4144
(314) 878-9146
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6296928808
—
MO
Enumeration date
07/11/2011
Last updated
11/20/2025
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