Organization · NPI-2

Luxury Locs

Prosthetic/Orthotic Supplier · Hattiesburg, MS

NPI number1982225850
StatusActive
Last updated in NPPESMay 2, 2020

Details

NPI
1982225850
Entity type
Organization (NPI-2)
Legal business name
Luxury Locs
Organization subpart
No
Enumeration date
May 2, 2020
Certification date
May 2, 2020
Last updated
May 2, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

4401 W 4th St Ste D
Hattiesburg, MS 39402-1006

Phone 662-322-3334 · Fax 601-557-4329

Mailing address

4401 W 4th St Ste D
Hattiesburg, MS 39402-1006

Phone 662-322-3334 · Fax 601-557-4329

Authorized official

Whitney Trimble
Owner
6623223334

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