Organization
REFLECTIONS WELLNESS BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA VANDENBURGH MCCORMACK (VICE PRESIDENT)
(804) 594-4949
Entity
Organization
Contact information
Practice address
14051 SAINT FRANCIS BOULEVARD, SUITE 1302, MIDLOTHIAN, VA 23114
(804) 594-4949
(804) 594-4948
Mailing address
14051 SAINT FRANCIS BOULEVARD, SUITE 1302, MIDLOTHIAN, VA 23114
(804) 594-4949
(804) 594-4948
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
246765
ANTHEM BC BS
VA
01
—
7147989
CIGNA HEALTHCARE
VA
Enumeration date
06/13/2006
Last updated
03/05/2008
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