Organization
YESSHAWNIECESTYLES
Active
Other names
YssWigs, YssBoutique
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNIECE L JACKSON (OWNER)
(617) 306-1809
Entity
Organization
Contact information
Practice address
1495 NEWPORT AVE, PAWTUCKET, RI 02861-1342
(401) 388-0309
Mailing address
1495 NEWPORT AVE, PAWTUCKET, RI 02861-1342
(401) 388-0309
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/09/2019
Last updated
07/16/2019
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