Organization
BOUJIE COUTURE SALON
Active
Other names
Boujie Tress Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LATASHA GRIFFIN (CRANIAL PROSTHESIS SPECIALIST)
(225) 888-3904
Entity
Organization
Contact information
Practice address
743 MADELINE CT STE 102, BATON ROUGE, LA 70815-1146
(225) 888-3904
(225) 907-9559
Mailing address
743 MADELINE CT STE 102, BATON ROUGE, LA 70815-1146
(225) 888-3904
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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