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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 | |
Clinic/Center |
261Q00000X | |||
Health Service |
261QH0100X |
| NPI # | 1932897113 |
| LBN Legal business name | ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC |
| Authorized official | LATOSHA JACKSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/26/2023 |
| Last updated | 05/11/2023 - About 3 years ago |
| Identifiers | n/a |
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ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC