Organization
LUV LINGERIE & BOUTIQUE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMLA SHERREE VINCENT (OWNER)
(409) 735-2930
Entity
Organization
Contact information
Practice address
2215 TEXAS AVE, BRIDGE CITY, TX 77611-2841
(409) 735-2930
(409) 735-4513
Mailing address
2215 TEXAS AVE, BRIDGE CITY, TX 77611-2841
(409) 735-2930
(409) 735-4513
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/05/2010
Last updated
03/30/2011
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