Organization
QUEEN MELANIN EXTENSIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIREAL BLACKBURN (OWNER)
(281) 620-2830
Entity
Organization
Contact information
Practice address
8330 N SAM HOUSTON PKWY E APT 9202, HUMBLE, TX 77396-3399
(281) 620-2830
Mailing address
8330 N SAM HOUSTON PKWY E APT 9202, HUMBLE, TX 77396-3399
(281) 620-2830
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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