Organization
GLAM OPULENCE SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAYSHA KEONDRIA TANNER (OWNER)
(318) 290-8384
Entity
Organization
Contact information
Practice address
5607 MASONIC DR, ALEXANDRIA, LA 71301-2631
(318) 290-8384
Mailing address
5607 MASONIC DR, ALEXANDRIA, LA 71301-2631
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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