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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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