Organization
J'NICOLE MANAGEMENT COMPANY LLC.
Active
Other names
Hello Beautiful Mastectomy Boutique, J'Nicole Salounge & Hair Loss Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WASHINGTON (OWNER)
(501) 353-1123
Entity
Organization
Contact information
Practice address
4701 WESTWOOD AVE STE A, LITTLE ROCK, AR 72204-8272
(501) 353-1123
Mailing address
4701 WESTWOOD AVE STE A, LITTLE ROCK, AR 72204-8272
(501) 353-1123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
02/18/2020
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