NPI 1508186883

Gold Coast Allure, LLC

Organisation Specialist Bridgeport, CT

Practice location

Address: 695 Beechwood Ave, Bridgeport, CT 06605-1606
Phone: (203) 918-0099

Authorised official

Name: Jean Wescott
Title: President
Phone: (203) 918-0099

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1508186883
Entity type: Organization
NPI issued: 9 Jun 2010
Record last updated: 9 Jun 2010

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.