DORIS W MENG BRA BOUTIQUE NPI 1093960619

NPI Information

DORIS W MENG BRA BOUTIQUE is a customized equipment durable medical equipment medical supplies in Las Vegas, NV. DORIS W MENG BRA BOUTIQUE NPI is 1093960619. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Bra Boutique.

The provider's business location address is:

2375 S JONES BLVD
SUITE 14
LAS VEGAS, NV
ZIP 89146-169
Phone: (702) 362-1579
Fax: (702) 368-4609

The provider's authorized official is Doris West Meng .
The authorized official title is Owner and has the following contact phone number (702) 362-1579.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 11/24/2008.

Taxonomy Codes

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