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Organization

BELLEVIE LLC

Active
Other names
Bellevie Hair Collection
Organization subpart
No

Provider details

NPI number
Authorized official
NAKITA PEDEN (CEO/ OWNER)
(757) 952-5575
Entity
Organization

Contact information

Practice address
517 PURLIEU DR APT 204, NEWPORT NEWS, VA 23606-2164
(757) 952-5575
Mailing address
110 COLISEUM XING # 5011, HAMPTON, VA 23666-5971
(757) 952-5755

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
11/29/2021
Last updated
11/29/2021
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