Organization · Type 2 NPI

Enchanted Essence Beauty Boutique LLC

Prosthetic/Orthotic Supplier · Reno, NV

NPI number 1932897113 Active

Practice location

3710 Grant Dr Ste A
Reno, NV 89509-5317

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	None listed
Health Service Clinic/Center	261QH0100X	None listed
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Another provider at this address

Latosha Marie Jackson, HAIR STYLISTProsthetist Reno, NV NPI 1215631676

Other prosthetic/orthotic supplier providers in Reno

See all in Reno →

NPI record

NPI: 1932897113
Entity type: Organization (Type 2)
Issued: Apr 26, 2023
Last updated: May 11, 2023
Status: Active

Other names

<unavail>
Enchanted Essence Beauty Boutique Salon & Hair Restoration Center · doing business as
Enchanted Essence Beauty Boutique · other name
Enchanted Essence Beauty Boutique Salon & Restoration Center · other name

Authorized official

Mrs. Latosha Jackson
Owner
(775) 770-8023

Verify this record

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About NPI 1932897113

Enchanted Essence Beauty Boutique LLC's National Provider Identifier is 1932897113, issued on Apr 26, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Reno, NV. The record was last updated on May 11, 2023.