Organization
SECOND TO NATURE BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAMONA R. HERTZELL CFM (MEMBER)
(336) 274-2003
Entity
Organization
Contact information
Practice address
2549 GREENSBORO RD, MARTINSVILLE, VA 24112-0676
(276) 670-2727
(276) 670-2007
Mailing address
500 STATE ST, UNIT A, GREENSBORO, NC 27405-5659
(336) 274-2003
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
10--F001
NC
Other
Enumeration date
11/12/2012
Last updated
07/21/2022
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