Roberta's Lovely Ladies Boutique
Roberta's Lovely Ladies Boutique is a Mastectomy Fitter in Alton, Illinois. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
603 W DelmarAlton, IL 62002
Phone: (618) 467-0640
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mastectomy Fitter (primary) | Taxonomy 224900000X |
|---|
Record details
| NPI number | 1174983050 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carol Logan — Owner · (618) 467-0095 |
| NPI enumerated | March 4, 2016 |
| Last updated in NPPES | March 4, 2016 |
| Mailing address | 603 W. Delmar, Alton, IL 62002 |