Provider Demographics
NPI:1700308814
Name:PARISIAN STYLE BEAUTY SUPPLIES & BRAIDS, LLC
Entity Type:Organization
Organization Name:PARISIAN STYLE BEAUTY SUPPLIES & BRAIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDNET
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-272-6312
Mailing Address - Street 1:51 CEDAR ST APT 4410
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2146
Mailing Address - Country:US
Mailing Address - Phone:617-272-6312
Mailing Address - Fax:
Practice Address - Street 1:657 EASTERN AVE
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5909
Practice Address - Country:US
Practice Address - Phone:617-272-6312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2017-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies