Organization
PROFESSIONAL HAIR DESIGNER
Active
Other names
Professional Hair Designer
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LENTHORIA DENISE JOHNSON (COSMETOLOGIST/OWNER)
(806) 502-8077
Entity
Organization
Contact information
Practice address
7907 MARTINELLI, SAN ANTONIO, TX 78253-5042
(806) 502-8077
Mailing address
7907 MARTINELLI, SAN ANTONIO, TX 78253-5042
(806) 502-8077
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1474782
TX
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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