Organization · NPI-2

4k Tresses

Durable Medical Equipment & Medical Supplies · Chesapeake, VA

NPI number1164909586
StatusActive
Last updated in NPPESJul 27, 2018

Details

NPI
1164909586
Entity type
Organization (NPI-2)
Legal business name
4k Tresses
Organization subpart
No
Enumeration date
Jul 27, 2018
Last updated
Jul 27, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment––
335E00000X Prosthetic/Orthotic Supplier––

Practice location

1220 Executive Blvd Ste 101
Chesapeake, VA 23320

Phone 404-860-2114 · Fax 757-482-4840

Mailing address

1008 Kendale Cir
Chesapeake, VA 23322-6872

Phone 404-860-2114 · Fax 757-482-4840

Other practice locations

1008 Kendale Cir
Chesapeake, VA 23322-6872

Phone 404-860-2114 · Fax 757-482-4840

Authorized official

Nykoi R Potts-Slowe
Ceo
4048602114

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