Organization
E.M. EXOTIC HAIR CREATION & SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY HORTON (FRONT DESK MANAGER)
(561) 888-9695
Entity
Organization
Contact information
Practice address
10300 FOREST HILL BLVD STE 270, WELLINGTON, FL 33414-3130
(561) 200-2820
Mailing address
10300 FOREST HILL BLVD, WELLINGTON, FL 33414-3120
(561) 200-2820
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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