Organization
LOVE STRUCK VIRGIN REMY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA DANIELLE COTTON (OWNER)
(314) 574-8970
Entity
Organization
Contact information
Practice address
261 N LAMB BLVD UNIT B, LAS VEGAS, NV 89110-0505
(314) 574-8970
Mailing address
261 N LAMB BLVD UNIT B, LAS VEGAS, NV 89110-0505
(314) 574-8970
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/25/2022
Last updated
05/03/2022
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