Organization
L S
Active
Other names
LaTrice Stylez
Organization subpart
No
Provider details
NPI number
Authorized official
LASHONNDA L SPENCE COSMETOLOGIST (OWNER)
(469) 835-9926
Entity
Organization
Contact information
Practice address
111 CEDAR RIDGE DR, SUITE 101 ROOM 12, DUNCANVILLE, TX 75116
(646) 983-5926
Mailing address
933 TRAILWOOD DR, DESOTO, TX 75115-5546
(469) 835-9926
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
07/25/2023
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