Organization
MIRACLES LLC
Active
Other names
anuva beauty salon
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANDI M BELCHER (OWNER)
(856) 761-2878
Entity
Organization
Contact information
Practice address
209 W CLINTON AVE, OAKLYN, NJ 08107-1522
(865) 854-0918
Mailing address
209 W CLINTON AVE, OAKLYN, NJ 08107-1522
(865) 854-0918
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
32WD03091500
NJ
332BC3200X
Customized Equipment (DME)
Primary
32WG03621800
NJ
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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