Organization
DIVA SALON BY VERONICA ASHLEY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA WILLIAMS (OWNER)
(704) 713-7130
Entity
Organization
Contact information
Practice address
10901 UNIVERSITY CITY BLVD STE 108, CHARLOTTE, NC 28213-9300
(704) 601-6021
Mailing address
1400 KIRK FARM LN APT 107, CHARLOTTE, NC 28213-4032
(704) 713-7130
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025858851
DUNS
NC
Enumeration date
05/06/2020
Last updated
05/06/2020
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