Healthcare Provider Details

I. General information

NPI: 1689512857
Provider Name (Legal Business Name): SOUKE BEAUTY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2094 PLEASANT PKWY
UNION NJ
07083-4348
US

IV. Provider business mailing address

2094 PLEASANT PKWY
UNION NJ
07083-4348
US

V. Phone/Fax

Practice location:
  • Phone: 908-494-3965
  • Fax: 908-494-3965
Mailing address:
  • Phone: 908-494-3965
  • Fax: 908-494-3965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER NACIUS
Title or Position: OWNER
Credential:
Phone: 908-494-3965