Organization
BEAUTY VAULT LUX LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GESSY RIGAUD (OWNER)
(786) 278-9069
Entity
Organization
Contact information
Practice address
5100 SW 41ST ST, HOLLYWOOD, FL 33023-6948
(786) 278-9069
Mailing address
5100 SW 41ST, APT 115, HOLLYWOOD, FL 33023-6988
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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