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Organization
LASTING MPRESSIONS SALON AND SPA
Active
Organization
LASTING MPRESSIONS SALON AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA L MALONE (OWNER)
(850) 619-5664
Entity
Organization
Contact information
Practice address
312 E NINE MILE RD STE 17, PENSACOLA, FL 32514-1475
(850) 760-2454
Mailing address
312 E NINE MILE RD STE 17, PENSACOLA, FL 32514-1475
(850) 760-2454
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
NULL
1744P3200X
Prosthetics Case Management
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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