Organization
ELEVE BEAUTY AND SPIRIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYONGMI PURRINGTON (OWNER/OPERATOR)
(757) 873-0002
Entity
Organization
Contact information
Practice address
732 THIMBLE SHOALS BLVD, SUITE 603, NEWPORT NEWS, VA 23606-4218
(757) 873-0002
Mailing address
732 THIMBLE SHOALS BLVD, SUITE 603, NEWPORT NEWS, VA 23606-4218
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/17/2013
Last updated
11/17/2013
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