Organization
HAPPILY EVER AFTER
Active
Other names
The Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MICHELLE SMITH (SECRETARY)
(336) 687-9220
Entity
Organization
Contact information
Practice address
313 TRINDALE RD STE A203, ARCHDALE, NC 27263-3801
(336) 687-9220
Mailing address
313 TRINDALE RD STE A203, ARCHDALE, NC 27263-3801
(336) 687-9220
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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