Organization
KMS GLAM STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEARA STANLEY (OWNER/PROVIDER)
(214) 601-5416
Entity
Organization
Contact information
Practice address
211 S CEDAR RIDGE DR, DUNCANVILLE, TX 75116-4528
(214) 601-5416
Mailing address
1034 BEAVER BROOK LN, DESOTO, TX 75115-2771
(214) 601-5416
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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