Organization
MARY LOU MARQUES PRO STYLIST
Active
Other names
Shear Sensations
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY LOU MARQUES LICENSED HAIR STYLIS (OWNER)
(508) 995-2855
Entity
Organization
Contact information
Practice address
33 CLUB AVENUE ACUSHNET MASS 02743, 1980 ACUSHNET AVENUE, NEW BEDFORD, MA 02745
(508) 995-7855
(508) 995-7161
Mailing address
33 CLUB AVENUE ACUSHNET MASS 02743, 1980 ACUSHNET AVENUE, NEW BEDFORD, MA 02745
(508) 995-7855
(508) 995-7161
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
4003564
MA
335E00000X
Prosthetic/Orthotic Supplier
Primary
4003564
MA
Other
Enumeration date
12/08/2006
Last updated
12/19/2007
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