Organization
GLAM ESTHETICS BY TREASURE
Active
Other names
Glam Esthetics Medical Wigs
Organization subpart
No
Provider details
NPI number
Authorized official
TREASURE NICOLE GREEN COSMETOLOGIST (PROSTHETIC ORTHOTIC PROVIDER)
(225) 324-8364
Entity
Organization
Contact information
Practice address
8220 GOODWOOD BLVD STE 2A, BATON ROUGE, LA 70806-7741
(225) 324-8364
Mailing address
6720 SUMRALL DR, BATON ROUGE, LA 70812-1161
(225) 324-8364
(225) 612-6307
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
04/29/2022
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