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Organization
BE ENVIED BEAUTY CO LLC
Active
Organization
BE ENVIED BEAUTY CO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ROACH (OWNER)
(407) 982-4876
Entity
Organization
Contact information
Practice address
7760 EXCELSIOR RD STE 104, BAXTER, MN 56425-9768
(407) 982-4876
(407) 650-2758
Mailing address
7760 EXCELSIOR RD STE 104, BAXTER, MN 56425-9768
(407) 982-4876
(407) 650-2758
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NULL
Other
Enumeration date
10/08/2026
Last updated
10/08/2026
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