BUNNI MICHELLES SALON & BEAUTY BOUTIQUE LLC NPI 1013669142

NPI Information

BUNNI MICHELLES SALON & BEAUTY BOUTIQUE LLC is a prosthetic orthotic supplier in Virginia Beach, VA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. BUNNI MICHELLES SALON & BEAUTY BOUTIQUE LLC NPI is 1013669142. The provider is registered as an organization entity type.

The provider's business location address is:

3500 VIRGINIA BEACH BLVD STE 208
VIRGINIA BEACH, VA
ZIP 23452-445
Phone: (872) 221-0616
Fax: (888) 474-7750

The provider's authorized official is Ebony Michelle Jackson .
The authorized official title is Founder and has the following contact phone number (872) 221-0616.

The enumeration date for this NPI number is 1/20/2022 and was last updated on 1/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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