Organization
BUTTERFLY BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE BYERS (VICE PRESIDENT OF OPERATIONS)
(318) 798-5991
Entity
Organization
Contact information
Practice address
1950 E 70TH ST, SUITE G, SHREVEPORT, LA 71105-5345
(318) 798-5991
(318) 798-5992
Mailing address
1950 E 70TH ST STE G, SHREVEPORT, LA 71105-5345
(318) 798-5991
(318) 798-5992
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
C49850
LA
Other
Enumeration date
07/06/2010
Last updated
03/14/2012
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