Organization
UPTOWN NEW YORK STYLE INC
Active
Other names
Cranial Prosthesis Uptown New York Style
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUTICIA GRIER COSMETOLOGIST (CEO)
(858) 259-6833
Entity
Organization
Contact information
Practice address
524 STEVENS AVE STE 9, SOLANA BEACH, CA 92075-2053
(858) 259-6833
(760) 476-0153
Mailing address
2914 LUCIERNAGA ST UNIT A, CARLSBAD, CA 92009-5951
(619) 820-0290
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790193498
NPI
CA
Enumeration date
06/25/2021
Last updated
06/25/2021
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