Organization
OUR SALON INC
Active
Other names
Escape Salon and Medical Spa
Organization subpart
No
Provider details
NPI number
Authorized official
CAMERON M PENNINGTON (PRESIDENT)
(304) 920-5513
Entity
Organization
Contact information
Practice address
1243 STAFFORD DR, PRINCETON, WV 24740-2480
(304) 920-5513
Mailing address
PO BOX 5071, PRINCETON, WV 24740-5071
(304) 920-5513
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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