Organization
SALON CLICHE LLC
Active
Other names
The Foxxy Shop
Organization subpart
No
Provider details
NPI number
Authorized official
TISHA JOHNSON (OWNER)
(313) 974-0995
Entity
Organization
Contact information
Practice address
15940 W MCNICHOLS RD, DETROIT, MI 48235-3544
(313) 974-0995
Mailing address
15940 W MCNICHOLS RD, DETROIT, MI 48235-3544
(313) 974-0995
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
09/07/2023
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