NPI 1114645256

Her Crown LLC

Organisation Prosthetic/Orthotic Supplier Buckeye, AZ

Practice location

Address: 1560 S 233rd Ave, Buckeye, AZ 85326-4057
Phone: (623) 745-3094

Authorised official

Name: Antonya Boatman
Title: C
Phone: (623) 745-3094

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1114645256
Entity type: Organization
NPI issued: 15 Aug 2022
Record last updated: 15 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.