Organization
ALBERTAS A NATURAL LOOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN C TRACY (OWNER)
(937) 291-0010
Entity
Organization
Contact information
Practice address
6310 FAR HILLS AVE, CENTERVILLE, OH 45459-2724
(937) 291-0010
(937) 291-9276
Mailing address
6310 FAR HILLS AVE, CENTERVILLE, OH 45459-2724
(937) 291-0010
(937) 291-9276
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626531
—
OH
Enumeration date
03/20/2006
Last updated
04/17/2013
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