Organization
EXTREME BEAUTY SUPPLY & RETAIL, LLC
Active
Other names
Owner
Organization subpart
No
Provider details
NPI number
Authorized official
FALESHA MARTIN (CRANIAL PROTHESIS SPECIALIST)
(717) 327-8708
Entity
Organization
Contact information
Practice address
1230 GREENSPRINGS DR, YORK, PA 17402-8825
(717) 327-8708
Mailing address
23 W MARKET ST UNIT 41, YORK, PA 17401-1254
(717) 747-1942
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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