Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Student Health |
261QS1000X |
| NPI Number | 1306329792 |
| LBN Legal business name | AMAZING CREATIONS, LLC. |
| Authorized official | KIMBERLY ROBINSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/11/2018 |
| Last updated | 09/11/2018 - About 8 years ago |
| Identifiers | n/a |
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