Organization
SKIN CARE AND COSMETICS BY CARMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN E REYES-VELEZ (OWNER/OPERATOR)
(615) 822-9055
Entity
Organization
Contact information
Practice address
113A POWELL DR, HENDERSONVILLE, TN 37075-3526
(615) 822-9055
Mailing address
113A POWELL DR, HENDERSONVILLE, TN 37075-3526
(615) 822-9055
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
00028017
TN
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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