Organization
GLAM2GO BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKA BROWN (OWNER)
(216) 339-3080
Entity
Organization
Contact information
Practice address
18500 LIBBY RD, MAPLE HEIGHTS, OH 44137-1522
(216) 339-3080
Mailing address
18500 LIBBY RD, MAPLE HEIGHTS, OH 44137-1522
(216) 339-3080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
N/A
—
Enumeration date
01/10/2019
Last updated
01/10/2019
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