Organization
DOLLHOUSE BEAUTY SALON & BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TASHA WILLIAMS (OWNER)
(318) 564-7672
Entity
Organization
Contact information
Practice address
3018 LONG PINES DR, SHREVEPORT, LA 71119-3413
(318) 564-7672
Mailing address
6331 WESTPORT AVE, SHREVEPORT, LA 71129-2415
(318) 655-1154
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224P00000X
DURABLE MEDICAL EQUIPMENT
LA
Enumeration date
07/12/2024
Last updated
07/12/2024
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