Organization
HER CROWN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONYA BOATMAN (C)
(623) 745-3094
Entity
Organization
Contact information
Practice address
1560 S 233RD AVE, BUCKEYE, AZ 85326-4057
(623) 745-3094
Mailing address
1560 S 233RD AVE, BUCKEYE, AZ 85326-4057
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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