Organization
BOUGIE BRAT HAIR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON NICOLE BROOKS (OWNER)
(225) 726-0922
Entity
Organization
Contact information
Practice address
9151 INTERLINE AVE STE 12B, BATON ROUGE, LA 70809-1970
(225) 726-8034
Mailing address
18034 FOREST HILLS DR, PRAIRIEVILLE, LA 70769-3067
(225) 726-0922
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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