Bubbles Bubbles Bubbles,llc

NPI #1457699829 in Philadelphia, Pennsylvania

Provider Information

NPI Number
1457699829
Entity Type
Organization
Organization Name
Bubbles Bubbles Bubbles,llc
Subpart
Yes (part of a larger organization)
Parent Organization
BUBBLES BUBBLES BUBBLES, LLC
Primary Specialty
Point of Service
Enumeration Date
Jan 20, 2013
Last Updated
Jan 20, 2013

Practice Location

Address
1535 ELLSWORTH ST
Address 2
SUITE A
ZIP Code
19146-3109
Phone
(443) 993-9741

Authorized Official

Name
MS. CRYSTAL EVANS
Title
CEO/OWNER
Phone
(443) 993-9741

Specialties & Taxonomy Codes

Specialty
Point of Service

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