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Organization

KUZTOM LOOK KOUTOUR L.L.C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAMARA WATTS (CEO)
(248) 667-6492
Entity
Organization

Contact information

Practice address
19369 YACAMA RD, DETROIT, MI 48203-1608
(313) 789-9809
Mailing address
607 SHELBY ST STE 700, DETROIT, MI 48226-3282
(313) 789-9809

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/16/2026
Last updated
04/16/2026
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