Organization
BU BEAUTY HAIR STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASHAUNA CLECKNER SUPPLIER (SUPPLIER)
(727) 403-9941
Entity
Organization
Contact information
Practice address
12950 US 301 S STE 119, RIVERVIEW, FL 33578-7459
(727) 403-9941
Mailing address
10963 CARLTON FIELDS DR, RIVERVIEW, FL 33579-3215
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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