Organization
IT'S MAGIC MOMENTS LINGERIE
Active
Organization
IT'S MAGIC MOMENTS LINGERIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSSLAND RESHELL DAWN-DARNELL LVN (OWNER/ OPERATOR)
(469) 685-5577
Entity
Organization
Contact information
Practice address
231 E BELT LINE RD, BLDG. 2, SUITE 5, DESOTO, TX 75115-5776
(469) 685-5577
Mailing address
500 ROLLING HILLS PL, APT. 2006, LANCASTER, TX 75146-1027
(469) 685-5577
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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