Organization
NEW YORK FASHION BEAUTY SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARDAE VANHOOK (OWNER)
(980) 335-7702
Entity
Organization
Contact information
Practice address
5309 E INDEPENDENCE BLVD STE E, CHARLOTTE, NC 28212-0542
(980) 335-7702
Mailing address
5309 E INDEPENDENCE BLVD STE E, CHARLOTTE, NC 28212-0542
(980) 335-7702
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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