Her Crown LLC

NPI #1114645256 in Buckeye, Arizona

Provider Information

NPI Number
1114645256
Entity Type
Organization
Organization Name
Her Crown LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Aug 15, 2022
Last Updated
Aug 15, 2022

Practice Location

Address
1560 S 233RD AVE
State
Arizona
ZIP Code
85326-4057
Phone
(623) 745-3094

Authorized Official

Name
ANTONYA BOATMAN
Title
C
Phone
(623) 745-3094

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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