Organization
NBS LLC
Active
Other names
Madeline's Hair Replacement Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE B STAPLES COSMETOLOGIST (OWNER)
(207) 571-3277
Entity
Organization
Contact information
Practice address
3 EASTVIEW PKWY STE 1, SACO, ME 04072-6701
(207) 571-3277
(207) 571-3278
Mailing address
3 EASTVIEW PKWY STE 1, SACO, ME 04072-6701
(207) 571-3277
(207) 571-3278
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
CO43637
ME
Other
Enumeration date
08/15/2007
Last updated
10/31/2012
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