Organization
ANJELIC BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELICA YOUNG (OWNER/PROVIDER)
(864) 334-6216
Entity
Organization
Contact information
Practice address
923 APPLEGATE CIR, DUNCAN, SC 29334-8856
(864) 334-6216
(864) 404-4824
Mailing address
923 APPLEGATE CIR, DUNCAN, SC 29334-8856
(864) 334-6216
(864) 404-4824
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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