Organization
TULIPS HAIR BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOVELETTE BLAKE (OWNER)
(443) 713-5726
Entity
Organization
Contact information
Practice address
10706 REISTERSTOWN RD UNIT G, OWINGS MILLS, MD 21117-2720
(443) 713-5726
Mailing address
PO BOX 390, REISTERSTOWN, MD 21136-0390
(443) 713-5726
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/30/2021
Last updated
02/17/2021
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