Organization
BLIP BEAUTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIA JAVONNE EVANS (OWNER)
(513) 328-3177
Entity
Organization
Contact information
Practice address
967 HAVENSPORT DR, CINCINNATI, OH 45240-1853
(513) 328-3177
Mailing address
9550 S MASON MONTGOMERY RD # 1040, MASON, OH 45040-9759
(513) 250-2260
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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