NPI 1144059437
Magique Boutique LLC
Practice location
- Address
- 760 Whalers Way STE C120, Fort Collins, CO 80525-3372
- Phone
- (970) 230-5780
- Fax
- (970) 236-2596
Authorised official
- Name
- Jane Mardis
- Title
- President
- Phone
- (970) 230-5780
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1144059437
- Entity type
- Organization
- NPI issued
- 26 Jul 2024
- Record last updated
- 26 Jul 2024
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.