Organization
THE TOTAL WOMAN BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RUTH R ADDISON CMF (OWNER)
(225) 924-4531
Entity
Organization
Contact information
Practice address
9244 FLORIDA BLVD, SUITE C, BATON ROUGE, LA 70815-1160
(225) 924-4531
(225) 927-6986
Mailing address
9244 FLORIDA BLVD, SUITE C, BATON ROUGE, LA 70815-1160
(225) 924-4531
(225) 927-6986
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
50324870001
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1327760
—
LA
Enumeration date
07/02/2006
Last updated
03/23/2015
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