Organization
PRETTY LACE COLLECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HENDERSON (OWNER)
(352) 219-1661
Entity
Organization
Contact information
Practice address
901 NW 8TH AVE STE B5-1, GAINESVILLE, FL 32601-5011
(352) 745-8404
Mailing address
901 NW 8TH AVE STE B5-1, GAINESVILLE, FL 32601-5011
(352) 745-8404
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
12/07/2022
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