Organization
PERFECT IMPERFECTIONS RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN CELES MANZANILLO (CO-OWNER)
(781) 241-2782
Entity
Organization
Contact information
Practice address
331 PAGE ST STE 2, STOUGHTON, MA 02072-1172
(781) 241-2782
Mailing address
331 PAGE ST STE 2, STOUGHTON, MA 02072-1172
(781) 241-2782
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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