Individual provider · NPI-1
Lekeshia Teshambie Elliott, Cosmetology
Prosthetic/Orthotic Supplier · Wilson, NC
NPI number1902125610
StatusActive
Last updated in NPPESMay 19, 2010
Details
- NPI
- 1902125610
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lekeshia Teshambie Elliott
- Credential
- Cosmetology
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 19, 2010
- Last updated
- May 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | C52058 | NC | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | C52058 | NC |
Practice location
1211 Tarboro St SwWilson, NC 27893-3555
Phone 252-234-6086
Mailing address
1211 Tarboro St SwWilson, NC 27893-3555
Phone 252-234-6086
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