NPI 1235372475
Mommy & Me Boutique, INC.
Practice location
- Address
- 314 W Jefferson Ave, Effingham, IL 62401-2352
- Phone
- (217) 342-4774
- Fax
- (217) 342-4776
Authorised official
- Name
- Nichole Lynn Davis
- Title
- Owner
- Phone
- (217) 342-4774
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1235372475
- Entity type
- Organization
- NPI issued
- 17 Apr 2009
- Record last updated
- 27 Jan 2011
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.