Organization
STAR KREATIONS SALON SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SITHABILE MAHLATINI CPS (OWNER)
(781) 883-0028
Entity
Organization
Contact information
Practice address
124 NEWBURY ST STE C, PEABODY, MA 01960-4067
(781) 883-0028
Mailing address
124 NEWBURY ST STE C, PEABODY, MA 01960-4067
(781) 883-0028
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75005
NONE
—
Enumeration date
12/19/2019
Last updated
12/19/2019
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