Organization
TAYLOR MADE BOUTIQUE & BEAUTY SUPPLY LLC
Active
Other names
Taylor Made Beauty Supply LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATOSHA PERKINS (VICE PRESIDENT)
(501) 681-6546
Entity
Organization
Contact information
Practice address
2000 S UNIVERSITY AVE STE L, LITTLE ROCK, AR 72204-3603
(501) 615-8007
Mailing address
2000 S UNIVERSITY AVE STE L, LITTLE ROCK, AR 72204-3603
(501) 615-8007
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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