Organization
JAZZBEUTYBAR LIMITED LIABILITY COMPANY
Active
Other names
JazzBeautyBar LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MCKENZIE (LICENSED STYLIST)
(615) 603-6627
Entity
Organization
Contact information
Practice address
231 VETERANS PKWY STE C.1, MURFREESBORO, TN 37128-6437
(615) 603-6627
Mailing address
5150 JACK BYRNES DR APT 3202, MURFREESBORO, TN 37128-7057
(615) 603-6627
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083197487
—
TN
Enumeration date
09/11/2018
Last updated
06/14/2021
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