Organization
MADAME LA BELLE WIGS & BEAUTY LOUNGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY WARREN (OWNER)
(757) 478-0102
Entity
Organization
Contact information
Practice address
506 S INDEPENDENCE BLVD STE 100, VIRGINIA BEACH, VA 23452-1154
(757) 478-0102
Mailing address
506 S INDEPENDENCE BLVD STE 100, VIRGINIA BEACH, VA 23452-1154
(757) 478-0102
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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