Organization
PRETTY IN PINK BOUTIQUE, INC.
Active
Other names
Pretty In Pink Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA TAVAREZ CMF (PRESIDENT)
(915) 955-2525
Entity
Organization
Contact information
Practice address
3028 WOODALL ST, EL PASO, TX 79925-5521
(915) 260-8800
(915) 201-1318
Mailing address
3028 WOODALL ST, EL PASO, TX 79925-5521
(915) 260-8800
(915) 201-1318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
06/29/2020
Last updated
01/10/2023
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