Organization
EVERLASTING BEAUTY LLC
Active
Other names
Jr medical Aesthetics & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JILL REIDY (FNP)
(607) 207-7496
Entity
Organization
Contact information
Practice address
940 CHEMUNG ST STE B, HORSEHEADS, NY 14845-2260
(607) 562-5002
Mailing address
940 CHEMUNG ST, HORSEHEADS, NY 14845-2260
(607) 562-5002
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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