Organization
MANE STYLEZ STUDIO 1185
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA JOHNSON (OWNER)
(318) 228-9762
Entity
Organization
Contact information
Practice address
2298 YOUNG AVE UNIT 369, MEMPHIS, TN 38104-5755
(318) 228-9762
Mailing address
2298 YOUNG AVE UNIT 369, MEMPHIS, TN 38104-5755
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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