Organization
BEAUTIFUL NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY LEE (PRESIDENT)
(757) 967-7066
Entity
Organization
Contact information
Practice address
3011 VICTORY BLVD, PORTSMOUTH, VA 23702-1827
(757) 967-7066
Mailing address
3011 VICTORY BLVD, PORTSMOUTH, VA 23702-1827
(757) 967-7066
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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