NPI 1245698984

At Last Bra and Lingerie Boutique LLC

Organisation Prosthetic/Orthotic Supplier Sacramento, CA

Practice location

Address: 1329 Howe Ave STE 101, Sacramento, CA 95825-3363
Phone: (916) 480-9501
Fax: (916) 800-8271

Authorised official

Name: Benita Leichelle Kimball
Title: Owner
Phone: (916) 480-9501

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence C52184 (CA)

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Registry record

NPI: 1245698984
Entity type: Organization
NPI issued: 9 Feb 2016
Record last updated: 4 Apr 2025

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.