Organization
BREATHE BEAUTY LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OLUWAFUNMILAYO MAKINDE (CEO)
(678) 866-1468
Entity
Organization
Contact information
Practice address
4140 MOORE RD STE B114, SUWANEE, GA 30024-7157
(678) 866-1468
Mailing address
4140 MOORE RD STE B114, SUWANEE, GA 30024-7157
(678) 866-1468
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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