Organization
TLT COSMETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACIE TAYLOR (OWNER)
(859) 881-0041
Entity
Organization
Contact information
Practice address
115 QUINN DR, NICHOLASVILLE, KY 40356-1370
(859) 881-0041
Mailing address
115 QUINN DR, NICHOLASVILLE, KY 40356-1370
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
09/10/2019
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