Organization
EAZE PAMPERME PRETTY LLC
Active
Other names
Amour Maison
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA GORDON (OWNER/MANAGER)
(313) 333-3866
Entity
Organization
Contact information
Practice address
28907 EVERGREEN RD, SOUTHFIELD, MI 48076-5902
(248) 905-3800
Mailing address
28907 EVERGREEN RD, SOUTHFIELD, MI 48076-5902
(248) 905-3800
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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