Organization
THE MANNEQUIN QUEEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEESHA S JAMES (OWNER)
(813) 928-1248
Entity
Organization
Contact information
Practice address
3614 CHIOS ISLAND RD APT 203, SEFFNER, FL 33584-8377
(813) 928-1248
(813) 999-4857
Mailing address
3614 CHIOS ISLAND RD APT 203, SEFFNER, FL 33584-8377
(813) 928-1248
(813) 999-4857
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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