Organization
HEAVEN ON EARTH SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA L FLETCHER SPECIALIST (PROSTHETIC SPECIALIST /COSM.)
(419) 917-1268
Entity
Organization
Contact information
Practice address
1612 W SYLVANIA AVE, TOLEDO, OH 43612-1589
(419) 917-1268
Mailing address
1612 W SYLVANIA AVE, TOLEDO, OH 43612-1589
(419) 917-1268
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
953162
OH
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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