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An organization which supplies or vends orthopedic appliances or apparatuses and artificial body parts used to support, align, prevent, or correct deformities or to replace or improve function of body parts.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI Number | 1124873906 |
| LBN Legal business name | DIVINE DEZIRES |
| Authorized official | TURQUISHA PEACOCK - (CRANIAL PROSTHESIS SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/23/2024 |
| Last updated | 04/24/2024 - About 2 years ago |
| Identifiers | n/a |
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DIVINE DEZIRES
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DIVINE DEZIRES