Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1134767288 |
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| LBN Legal business name | STAR KREATIONS SALON SPA | ||||
| Authorized official | SITHABILE MAHLATINI - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/19/2019 | ||||
| Last updated | 12/19/2019 - About 6 years ago | ||||
| Identifiers |
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