Prima Donna Salon
NPI #1891230744 in Belleville, Illinois
Provider Information
- NPI Number
- 1891230744
- Entity Type
- Organization
- Organization Name
- Prima Donna Salon
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 2, 2017
- Last Updated
- Jan 2, 2017
Practice Location
- Address
- 333 LONGVIEW DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-4101
- Phone
- (618) 580-2584
Authorized Official
- Name
- MS. CHAUNA YVETTE PAYNE
- Title
- OWNER
- Phone
- (618) 580-2584
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
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