Organization
BUNNI MICHELLES SALON & BEAUTY BOUTIQUE LLC
Active
Other names
B MICHELLE Cranial Prosthesis
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY MICHELLE JACKSON (FOUNDER)
(872) 221-0616
Entity
Organization
Contact information
Practice address
3500 VIRGINIA BEACH BLVD STE 208, VIRGINIA BEACH, VA 23452-4445
(872) 221-0616
(888) 474-7750
Mailing address
3500 VIRGINIA BEACH BLVD STE 208, VIRGINIA BEACH, VA 23452-4445
(872) 221-0616
(888) 474-7750
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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