Organization
NATURAL TRESSES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONTREAL C. GLOSSON (OWNER)
(920) 257-6806
Entity
Organization
Contact information
Practice address
2011 N RICHMOND ST, APPLETON, WI 54911-2771
(920) 268-5267
(920) 358-5419
Mailing address
PO BOX 603, APPLETON, WI 54912-0603
(920) 268-5267
(920) 358-5419
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/05/2009
Last updated
12/05/2009
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