Organization
VENUS SALON SUITES LLC
Active
Other names
Blonde-Venom, Venus Beauty
Organization subpart
No
Provider details
NPI number
Authorized official
MELVA DIXON SENIOR COSMETOLOGIST (CEO)
(301) 583-6535
Entity
Organization
Contact information
Practice address
4550 CRAIN HWY STE 102, WHITE PLAINS, MD 20695-3086
(301) 583-6535
Mailing address
6118 SEA LION PL, WALDORF, MD 20603-4448
(301) 583-6535
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316413636
—
MD
Enumeration date
03/07/2024
Last updated
03/07/2024
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