BRE'S BEAUTIQUE RX

PORTSMOUTH, VA
NPI1558954602
Entity TypeOrganization
Authorized ContactBREONNA GIST
Owner
757-609-0334
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
Enumeration Date2021-02-18
Last Update Date2021-02-18
Business Address
BRE'S BEAUTIQUE RX
3590 TOWNE POINT RD UNIT 6543
PORTSMOUTH, VA 23703-1309
Phone number: 757-609-0334
Mailing Address
BRE'S BEAUTIQUE RX
112 FARO LN
PORTSMOUTH, VA 23703-5475
Phone number: