Organization
GROOMING ARTS LOUNGE AND GALLERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAZUAN RAFAEL JUDKINS (OWNER)
(313) 399-2064
Entity
Organization
Contact information
Practice address
19520 DORSET ST, SOUTHFIELD, MI 48075-7112
(313) 399-2064
Mailing address
19520 DORSET ST, SOUTHFIELD, MI 48075-7112
(313) 399-2064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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