Organization
THE AJANI BRAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY STALLWORTH (OWNER)
(513) 400-8349
Entity
Organization
Contact information
Practice address
2365 SPRING RD SE STE 215, SMYRNA, GA 30080-2632
(513) 400-8349
Mailing address
409 WALTON WAY SE, SMYRNA, GA 30082-3854
(513) 400-8349
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
09/09/2024
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