Organization
BEKS SPEKS EYEWEAR BOUTIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH YVONNE BRADTKE (OWNER)
(563) 875-2344
Entity
Organization
Contact information
Practice address
1314 9TH ST SE, SUITE 2, DYERSVILLE, IA 52040-2333
(563) 875-2344
(563) 875-2344
Mailing address
1314 9TH ST SE, SUITE 2, DYERSVILLE, IA 52040-2333
(563) 875-2344
(563) 875-2344
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449512
—
IA
Enumeration date
01/07/2008
Last updated
01/07/2008
Update your record
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