Organization
THE LAVISH BEAUTY PALACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE SHAKESHA PAGE (CO FOUNDER)
(844) 528-4247
Entity
Organization
Contact information
Practice address
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
(844) 528-4247
(844) 528-4247
Mailing address
6701 DEMOCRACY BLVD STE 300, BETHESDA, MD 20817-7500
(844) 528-4247
(844) 528-4247
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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