NPI 1225540263

Eye Candy Beauty Supply

Organisation Prosthetic/Orthotic Supplier Fairmont, WV

Practice location

Address: 208 Adams St, Fairmont, WV 26554-2826
Phone: (304) 368-0027
Mailing address: 200 Braddock St, Fairmont, WV 26554-2208

Authorised official

Name: Tiffany Dushawn Samuels
Title: Owner
Phone: (304) 657-7558

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in West Virginia →

Registry record

NPI: 1225540263
Entity type: Organization
NPI issued: 31 Oct 2017
Record last updated: 31 Oct 2017

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.