NPI 1013669142

Bunni Michelles Salon & Beauty Boutique LLC

Organisation Prosthetic/Orthotic Supplier Virginia Beach, VA

Practice location

Address: 3500 Virginia Beach Blvd STE 208, Virginia Beach, VA 23452-4445
Phone: (872) 221-0616
Fax: (888) 474-7750

Authorised official

Name: Ebony Michelle Jackson
Title: Founder
Phone: (872) 221-0616

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1013669142
Entity type: Organization
NPI issued: 20 Jan 2022
Record last updated: 20 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.