The Mannequin Queen LLC

NPI #1669044905 in Seffner, Florida

Provider Information

NPI Number
1669044905
Entity Type
Organization
Organization Name
The Mannequin Queen LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Jul 15, 2021
Last Updated
Jul 15, 2021

Practice Location

Address
3614 CHIOS ISLAND RD APT 203
State
Florida
ZIP Code
33584-8377
Phone
(813) 928-1248

Authorized Official

Name
LAKEESHA S JAMES
Title
OWNER
Phone
(813) 928-1248

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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