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Organization

HEAVENLY STRANDS CUSTOM CREATIONS

Active
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Organization

HEAVENLY STRANDS CUSTOM CREATIONS

Active
Other names
N/A
Organization subpart
No

Provider details

NPI number
Authorized official
MARTHA J OWENS (MEMBER)
(757) 301-1235
Entity
Organization

Contact information

Practice address
996 BAKER RD, VIRGINIA BEACH, VA 23455-4611
(757) 301-1265
Mailing address
996 BAKER RD, VIRGINIA BEACH, VA 23455-4611
(757) 301-1235

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/11/2023
Last updated
04/11/2023
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