# BU BEAUTY HAIR STUDIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396453643
- **Authorized official:** CASHAUNA CLECKNER SUPPLIER (SUPPLIER)
- **Authorized official phone:** (727) 403-9941

## Contact information

- **Practice address:** 12950 US 301 S STE 119, RIVERVIEW, FL 33578-7459
- **Practice address phone:** (727) 403-9941
- **Mailing address:** 10963 CARLTON FIELDS DR, RIVERVIEW, FL 33579-3215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2022
- **Last updated:** 11/07/2022