Organization Name: | TRULY BEAUTIFUL |
NPI Number: | 1699137224 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGELA DENISE STURDIVANT (CERTIFIED HAIR LOSS SPECIALIST) |
Mailing Address: | 1609 1st St Ne Center Point |
State: | AL US |
Postal Code: | 352155603 |
Phone Number: | 2054017312 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2016 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1744P3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | Prosthetics Case Management |
Taxonomy Definition: |