Organization
RAVISH HAIR EXTENSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARQUITA BRIDGES (PROVIDER/OWNER)
(228) 314-3554
Entity
Organization
Contact information
Practice address
12342 ASHLEY DR STE C, GULFPORT, MS 39503-2953
(228) 547-1143
Mailing address
12342 ASHLEY DR STE C, GULFPORT, MS 39503-2953
(228) 547-1143
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/02/2023
Last updated
11/30/2023
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