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Organization
ONE SHOT BEAUTY MEDSPA
Active
Organization
ONE SHOT BEAUTY MEDSPA
Active
Other names
JAYA KULANGARA NURSE PRACTITIONER
Organization subpart
No
Provider details
NPI number
Authorized official
JAYA SHOT BEAUTY KULANGARA NP (CEO)
(310) 866-8529
Entity
Organization
Contact information
Practice address
7938 W 3RD ST, LOS ANGELES, CA 90048-4305
(310) 866-8529
Mailing address
10736 JEFFERSON BLVD # 170, CULVER CITY, CA 90230-4933
(310) 866-8529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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