Vine Beauty Supply
NPI #1568020311 in Woodbridge, New Jersey
Provider Information
- NPI Number
- 1568020311
- Entity Type
- Organization
- Organization Name
- Vine Beauty Supply
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 5, 2019
- Last Updated
- Jun 5, 2019
Practice Location
- Address
- 615 RAHWAY AVE
- City
- Woodbridge
- State
- New Jersey
- ZIP Code
- 07095-3437
- Phone
- (732) 425-5778
Authorized Official
- Name
- SHIRLEY PURNELL
- Title
- PRESIDENT
- Phone
- (732) 425-5778
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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