Organization
B & B LINGERIE COMPANY, INC.
Active
Other names
Bosom Buddy Breast Forms
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACIE Q NEELY (PRESIDENT)
(208) 343-9696
Entity
Organization
Contact information
Practice address
2417 BANK DR, SUITE 201, BOISE, ID 83705-2570
(208) 343-9696
(208) 343-9266
Mailing address
PO BOX 5731, BOISE, ID 83705-0731
(208) 343-9696
(208) 343-9266
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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