Carols Personal Mastectomy Boutique
Carols Personal Mastectomy Boutique is a Durable Medical Equipment & Medical Supplies in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2007.
- Licensed in
- UT
- In the registry since
- 2007
Practice location Address checks out
3165 S Main StSalt Lake City, UT 84115-3748
Phone: (801) 483-1262
Fax: (801) 483-1287
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 1744P3200X (UT) |
|---|
Record details
| NPI number | 1356522304 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gary Stenquist — Owner · (801) 483-1262 |
| NPI enumerated | November 19, 2007 |
| Last updated in NPPES | November 28, 2011 |
| Mailing address | 3165 S Main St, Salt Lake City, UT 84115-3748 |
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