Organization
PHIVE STAR HAIR BOUTIQUE LLC
Active
Other names
Phive Star Hair Boutique LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KATEAU CERISME (CEO)
(321) 374-1460
Entity
Organization
Contact information
Practice address
320 N MAGNOLIA AVE STE A1, ORLANDO, FL 32801-1650
(321) 374-1460
Mailing address
320 N MAGNOLIA AVE STE A1, ORLANDO, FL 32801-1650
(321) 374-1460
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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