Organization
BLAQUE SUGGA DESIGNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMICA WATSON (LICENSE COSMETOLOGIST HAIR LOSS)
(347) 908-3223
Entity
Organization
Contact information
Practice address
8791 N 56TH ST, TEMPLE TERRACE, FL 33617-6201
(347) 908-3223
Mailing address
PO BOX 310052, TAMPA, FL 33680-0052
(347) 832-7946
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
10/31/2023
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