Brenda Starr Hairstyling
Prosthetic/Orthotic Supplier in Chesapeake, VA. Organization (NPI-2).
NPI number1568665644
StatusActive
Last updated in NPPESJul 11, 2007
Details
- NPI
- 1568665644
- Entity type
- Organization (NPI-2)
- Legal business name
- Brenda Starr Hairstyling
- Organization subpart
- No
- Enumeration date
- Jun 7, 2007
- Last updated
- Jul 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | 1202017211 | VA | Yes |
Other names
- Brenda Starr Image Center (Doing Business As)
Practice location
3105 Western Branch BlvdSuite #8
Chesapeake, VA 23321-5543
Phone 757-638-7880 · Fax 757-638-7880
Mailing address
3105 Western Branch BlvdSuite #8
Chesapeake, VA 23321-5543
Phone 757-638-7880 · Fax 757-638-7880
Authorized official
Brenda Hargrove-Addison
Owner
7576387880
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