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A Beautiful You Mastectomy Boutique — NPI 1558760611, Caldwell, ID | NPI Central

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NPI 1558760611

OrganizationActive

A Beautiful You Mastectomy Boutique

NPI 1558760611 · Prosthetic/Orthotic Supplier · Caldwell, ID

Provider details

NPI number: 1558760611
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Leanne Kovick, Owner/Operator
License: CFM02746 (ID)

Practice location

2006 Blaine St

Caldwell, ID 83605-4343

Phone: (208) 985-5404

More ID providers

Mailing address

2006 Blaine St

Caldwell, ID 83605-4343

Registry dates

Enumerated: 2014-08-14
Last updated: 2014-11-12

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.