Organization
SOPHISTICATED LADY BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER L EPPERLY CFM (OWNER)
(828) 837-2790
Entity
Organization
Contact information
Practice address
26 VALLEY RIVER AVE STE B, MURPHY, NC 28906-2955
(828) 837-2790
(828) 837-2790
Mailing address
26 VALLEY RIVER AVE STE B, MURPHY, NC 28906-2955
(828) 837-2790
(828) 837-2790
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NC
Other
Enumeration date
02/09/2010
Last updated
08/19/2010
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