Organization
BELLA WIGS AND BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARISSA LYNN ANDREWS-BEARUP (OWNER)
(615) 288-4517
Entity
Organization
Contact information
Practice address
3590 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3061
(615) 288-4517
(615) 288-4517
Mailing address
3590 N MOUNT JULIET RD, MOUNT JULIET, TN 37122-3061
(615) 288-4517
(615) 288-4517
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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