Organization
CAT & MOUSE ELECTROLYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA NOEL ELECTROLOGIST (CEO)
(909) 243-1996
Entity
Organization
Contact information
Practice address
1 W CALIFORNIA BLVD STE 228, PASADENA, CA 91105-3033
(909) 206-2443
Mailing address
159 N MARENGO AVE APT 102, PASADENA, CA 91101-4505
(909) 206-2443
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154151355
—
CA
05
—
1538906771
—
CA
05
—
1770321929
—
CA
Enumeration date
08/03/2024
Last updated
08/30/2024
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