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Pink Diamond Beauty Mall Llc
Prosthetic/Orthotic Supplier in Detroit, Michigan
NPI 1245926179

Pink Diamond Beauty Mall Llc is a Prosthetic/Orthotic Supplier based in Detroit, MI. Pink Diamond Beauty Mall Llc practices in Detroit, MI. The NPI Number for Pink Diamond Beauty Mall Llc is 1245926179 and holds a License No. (Michigan).

The current practice location address for Pink Diamond Beauty Mall Llc is 17350 Livernois Ave, Detroit, MI and can be reached out via phone at 855-683-7465.

Location: 17350 Livernois Ave, Detroit, MI, 48219-1117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245926179
Provider Name
Pink Diamond Beauty Mall Llc
Credential
Provider Entity Type
Organization
Address
17350 Livernois Ave, Detroit, MI, 48219-1117
Phone Number
855-683-7465
Fax Number
Provider Enumeration Date
04/13/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
17350 Livernois Ave
City
Detroit
State
Michigan
Zip
48221-2759
Phone Number
855-683-7465
Fax Number
person
Provider Business Mailing Address Details
Address
17350 Livernois Ave
City
Detroit
State
Michigan
Zip
48221-2759
Phone Number
855-683-7465
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
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.
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