Organization
SECOND TO NATURE BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA HERTZELL CFM (MBR)
(336) 274-2003
Entity
Organization
Contact information
Practice address
4123 LAWNDALE DR STE 101, GREENSBORO, NC 27455-1887
(336) 274-2003
(336) 274-2052
Mailing address
PO BOX 7968, GREENSBORO, NC 27417-0968
(336) 274-2003
(336) 274-2052
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
600815424
NC
Other
Enumeration date
05/23/2011
Last updated
08/02/2022
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