Edge Luxe Image Consulting LLC
NPI #1700210689 in Beavercreek, Ohio
Provider Information
- NPI Number
- 1700210689
- Entity Type
- Organization
- Organization Name
- Edge Luxe Image Consulting LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 27, 2013
- Last Updated
- Aug 27, 2013
Practice Location
- Address
- 112 MAGNOLIA ST
- City
- Beavercreek
- State
- Ohio
- ZIP Code
- 45440-1370
- Phone
- (937) 241-2972
Authorized Official
- Name
- CHANDI RAE BOZEMAN
- Title
- OWNER
- Phone
- (937) 241-2972
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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