Organization
SALON OHM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY W MIXON COSMETOLOGIST (MBR/OWNER)
(954) 561-1002
Entity
Organization
Contact information
Practice address
2435 N DIXIE HWY, WILTON MANORS, FL 33305-2239
(954) 561-1002
Mailing address
2435 N DIXIE HWY, WILTON MANORS, FL 33305-2239
(954) 561-1002
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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