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Organization

CHERRY BLOSSOM INTIMATES INC

Active
Other names
JH Lingerie, JH Lingerie LLC, Myya
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA HAMPTON (VICE PRESIDENT)
(240) 723-5402
Entity
Organization

Contact information

Practice address
12150 ANNAPOLIS RD STE 309, GLENN DALE, MD 20769-9183
(012) 915-0133
Mailing address
PO BOX 7193, UPPER MARLBORO, MD 20792-7193
(204) 723-5402
(240) 245-7900

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200476300
MD
05
3336875000
MD
Enumeration date
06/08/2017
Last updated
12/15/2024
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