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Organization

QUEENS AND CROWNS HAIR BOUTIQUE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TIJUANA STEWART (OWNER)
(901) 446-8262
Entity
Organization

Contact information

Practice address
4597 SAINT ELMO AVE, MEMPHIS, TN 38128-2459
(901) 446-8262
(901) 328-6370
Mailing address
PO BOX 80735, MEMPHIS, TN 38108-0735
(901) 446-8262
(901) 328-6370

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
05/12/2023
Last updated
05/12/2023
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