OrganizationActive
A Beautiful You Mastectomy Boutique
NPI 1902202708 · Durable Medical Equipment & Medical Supplies · Caldwell, ID
Provider details
- NPI number
- 1902202708
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Leanne Kovick, President(208) 985-5404
- License
- CFM02746 (ID)
Specialties & taxonomies
Suppliers
Practice location
2006 Blaine St
Caldwell, ID 83605-4343
Phone: (208) 985-5404
Fax: (208) 402-5959
Approximate (ZIP-level) locationGet directions
Mailing address
2006 Blaine St
Caldwell, ID 83605-4343
Registry dates
- Enumerated
- 2014-11-06
- Last updated
- 2014-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.