MEDICARE: BRAS AND HONEY LINGERIE LIMITED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224900000X	Mastectomy Fitter
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053832923
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAS AND HONEY LINGERIE LIMITED

Provider Business Mailing Address
First Line	:	4242 CAMINO DEL RIO N STE 9
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2612
Country	:	US
Telephone Number	:	619-282-1178
Fax Number	:

Provider Business Practice Location Address
First Line	:	4242 CAMINO DEL RIO N STE 9
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92108-2612
Country	:	US
Telephone Number	:	619-282-1178
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NICOLA RODNEY-CROOK
Credential	:	CMF
Telephone Number	:	619-282-1178

Provider Enumeration Date	:	06/30/2017
Last Update Date	:	03/14/2024

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