NPI 1114210218
Second to Nature Boutique, LLC
Practice location
- Address
- 4123 Lawndale Dr STE 101, Greensboro, NC 27455-1887
- Phone
- (336) 274-2003
- Fax
- (336) 274-2052
- Mailing address
- PO Box 7968, Greensboro, NC 27417-0968
Authorised official
- Name
- Ramona Hertzell
- Title
- Mbr
- Phone
- (336) 274-2003
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1114210218
- Entity type
- Organization
- NPI issued
- 23 May 2011
- Record last updated
- 2 Aug 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.