Organization
MINK BEAUTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLEY MARSHAE HILL (OWNER)
(901) 496-6726
Entity
Organization
Contact information
Practice address
4466 ELVIS PRESLEY BLVD STE 169, MEMPHIS, TN 38116-7135
(901) 800-9785
Mailing address
1186 N LIONS GATE DR, MEMPHIS, TN 38116-7818
(901) 496-6726
(800) 543-6643
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/28/2017
Last updated
11/28/2017
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