Organization
FEARLESS BEAUTY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA SMITH (OWNER)
(601) 218-9816
Entity
Organization
Contact information
Practice address
611 S PEAR ORCHARD RD # 771, RIDGELAND, MS 39157-4836
(601) 218-9816
Mailing address
611 S PEAR ORCHARD RD # 771, RIDGELAND, MS 39157-4836
(601) 218-9816
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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