CAROLS PERSONAL MASTECTOMY BOUTIQUE is a durable medical equipment medical supplies in Salt Lake City, UT. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CAROLS PERSONAL MASTECTOMY BOUTIQUE NPI is 1356522304. The provider is registered as an organization entity type.
The provider's business location address is:
3165 S MAIN ST
SALT LAKE CITY, UT
ZIP 84115-748
Phone: (801) 483-1262
Fax: (801) 483-1287
The provider's authorized official is Gary R Stenquist .
The authorized official title is Owner and has the following contact phone number (801) 483-1262.
The enumeration date for this NPI number is 11/19/2007 and was last updated on 11/28/2011.