Organization
PRETTY ESSENTIALS WOMEN'S BOUTIQUE, LLC.
Active
Organization
PRETTY ESSENTIALS WOMEN'S BOUTIQUE, LLC.
Active
Other names
Pretty Essentials Women's Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHIA JUSTICE (CHIEF EXECUTIVE OFFICER/MEMBER)
(919) 274-2461
Entity
Organization
Contact information
Practice address
661 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1802
(919) 274-2461
Mailing address
661 TIFFANY BLVD, ROCKY MOUNT, NC 27804-1802
(252) 442-4233
(252) 557-3557
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
12/20/2023
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