Organization
SALON TECHNIQUES T/A CENTO IND. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSETTE MAYES (OWNER)
(609) 585-7434
Entity
Organization
Contact information
Practice address
629 WHITE HORSE AVE, HAMILTON, NJ 08610-1417
(609) 585-7434
(609) 585-3755
Mailing address
629 WHITE HORSE AVE, HAMILTON, NJ 08610-1417
(609) 585-7434
(609) 585-3755
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
32WD00810000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W159996396
AETNA
NJ
Enumeration date
09/12/2013
Last updated
01/30/2014
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