Organization
BEAUTIFUL U
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA THREATS OWNER (PRESIDENT)
(228) 731-3134
Entity
Organization
Contact information
Practice address
1103 BROAD AVE STE B, GULFPORT, MS 39501-2415
(228) 731-3134
(228) 731-3134
Mailing address
PO BOX 3514, GULFPORT, MS 39505-3514
(228) 731-3134
(228) 731-3134
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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