Organization
EXQUISITE BOUTIQUE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CEAIRA S JOHNSON JOHNSON (DIRECTOR/PESIDENT)
(602) 960-5868
Entity
Organization
Contact information
Practice address
1057 W ENTERTAINMENT BLVD, SUITE 1057, GLENDALE, AZ 85305
(602) 960-5868
Mailing address
6610 N 93RD AVE APT 1057, GLENDALE, AZ 85305-3186
(602) 960-5868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/28/2026
Last updated
01/28/2026
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