Organization
VICTORIA MARIE GRAZIANO
Active
Other names
VICKIS MASTECTOMY BOUTIQUE, Vicki's Mastectomy Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA MARIE GRAZIANO (OWNER)
(757) 536-2741
Entity
Organization
Contact information
Practice address
228 N LYNNHAVEN RD STE 115, VIRGINIA BEACH, VA 23452-7514
(757) 536-2741
(757) 210-9941
Mailing address
228 N LYNNHAVEN RD STE 115, VIRGINIA BEACH, VA 23452-7514
(757) 536-2741
(757) 210-9941
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
11/04/2025
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