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ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC NPI 1932897113


NPI Information

NPI: 1932897113
Provider Name: ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC

Other Name: ENCHANTED ESSENCE BEAUTY BOUTIQUE

Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Address:
3710 GRANT DR STE A
RENO, NV
ZIP 89509
Phone: (775) 786-0884
Get Directions

ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC is a prosthetic orthotic supplier in Reno, NV. 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. ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC NPI is 1932897113. The provider is registered as an organization entity type.
The provider Other Name Is Enchanted Essence Beauty Boutique.

The provider's business location address is:

3710 GRANT DR STE A
RENO, NV
ZIP 89509-317
Phone: (775) 786-0884

The provider's authorized official is Latosha Jackson .
The authorized official title is Owner and has the following contact phone number (775) 770-8023.

The enumeration date for this NPI number is 4/26/2023 and was last updated on 5/11/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QH0100XClinic/CenterHealth ServiceNo
2261Q00000XClinic/CenterNo
3335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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