Organization
SHALANA'S PROSTHETICS & COSMETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHALANA DAVENPORT (MANAGER)
(501) 500-2266
Entity
Organization
Contact information
Practice address
400 W CAPITOL AVE, LITTLE ROCK, AR 72201-3436
(501) 500-2266
Mailing address
400 W CAPITOL AVE, LITTLE ROCK, AR 72201-3436
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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