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Organization

EMBRACE MASTECTOMY BOUTIQUE LLC

Active
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Organization

EMBRACE MASTECTOMY BOUTIQUE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HENNY HEISLER (OWNER)
(732) 832-6906
Entity
Organization

Contact information

Practice address
10 WEYMOUTH DR, HOWELL, NJ 07731-1574
(732) 832-6906
Mailing address
10 WEYMOUTH DR, HOWELL, NJ 07731-1574
(732) 832-6906

Taxonomy

Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
07/09/2026
Last updated
07/09/2026
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