Organization
CELEBRITY STYLES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL WATKINS (OWNER/CEO)
(501) 779-2054
Entity
Organization
Contact information
Practice address
7 SHACKLEFORD PLZ, LITTLE ROCK, AR 72211-1826
(501) 779-2054
Mailing address
2 AUGUSTA CT APT 203, LITTLE ROCK, AR 72210-4617
(501) 779-2054
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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