Organization
DECORATED DOMES
Active
Other names
Fine Chinas Town INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHINA UPSHAW (OWNER)
(310) 435-0266
Entity
Organization
Contact information
Practice address
216 EAGLE LN, PALMDALE, CA 93551-3613
(310) 435-0266
Mailing address
PO BOX 1393, MABLETON, GA 30126-1006
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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