Organization
PRETTY MOMENTS BOUTIQUE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LASHAUNDA DELORES VAUGHN (FOUNDER)
(513) 223-1295
Entity
Organization
Contact information
Practice address
7577 CENTRAL PARKE BLVD STE 224, MASON, OH 45040-6806
(513) 223-1295
Mailing address
517 S COOPER AVE, CINCINNATI, OH 45215-4501
(513) 223-1295
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
07/24/2023
Last updated
07/22/2025
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