Organization
BOOGEY MAKE-UP STUDIO HAIR LOSS SPECIALIST
Active
Other names
Boogey Make-Up Studio Hair Loss Specialist
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEIRDRE MASHALE WRIGHT (OWNER)
(318) 505-1425
Entity
Organization
Contact information
Practice address
3100 KNIGHT ST, SHREVEPORT, LA 71105-2508
(318) 505-1425
Mailing address
3100 KNIGHT ST, SHREVEPORT, LA 71105-2508
(318) 505-1425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/26/2024
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