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Organization
VANITY TATTOO
Active
Organization
VANITY TATTOO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (ADMINISTRATOR)
(407) 982-4876
Entity
Organization
Contact information
Practice address
1028 VIRGINIA AVE # 208, INDIANAPOLIS, IN 46203-1712
(407) 982-4876
(407) 650-2754
Mailing address
1028 VIRGINIA AVE # 208, INDIANAPOLIS, IN 46203-1712
(407) 982-4876
(407) 650-2754
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
NULL
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
07/08/2026
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