NPI 1013014240
Carol's Personal Mastectomy Boutique of Southern Utah LLC
Practice location
- Address
- 1490 E Foremaster Dr STE 310, St George, UT 84790-4504
- Phone
- (435) 688-0452
- Fax
- (435) 688-0453
Authorised official
- Name
- Jennnifer Flowers
- Title
- Owner
- Phone
- (435) 688-0452
Registered specialties (2)
Durable Medical Equipment & Medical Supplies
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1013014240
- Entity type
- Organization
- NPI issued
- 20 Sep 2006
- Record last updated
- 16 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.