MEDICARE: SOUKE BEAUTY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1689512857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUKE BEAUTY LLC

Provider Business Mailing Address
First Line	:	2094 PLEASANT PKWY
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4348
Country	:	US
Telephone Number	:	908-494-3965
Fax Number	:	908-494-3965

Provider Business Practice Location Address
First Line	:	2094 PLEASANT PKWY
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-4348
Country	:	US
Telephone Number	:	908-494-3965
Fax Number	:	908-494-3965

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER NACIUS
Credential	:
Telephone Number	:	908-494-3965

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “SOUKE BEAUTY LLC ” Practice Location

Language	Start Address	Practice Location

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