Organization
B BEAUTY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBETTE R WOODALL (OWNER)
(971) 240-0498
Entity
Organization
Contact information
Practice address
926 W OWENS AVE, LAS VEGAS, NV 89106-2516
(971) 240-0498
Mailing address
3569 UNIQUE WAY, LAS VEGAS, NV 89129-6727
(971) 240-0498
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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