Organization
ESTHETIQUES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA JETT RN (ADMINISTRATOR)
(843) 667-8698
Entity
Organization
Contact information
Practice address
908 W EVANS ST, FLORENCE, SC 29501-3442
(843) 667-8698
(843) 667-8698
Mailing address
PO BOX 1570, FLORENCE, SC 29503-1570
(843) 667-8698
(843) 667-8698
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DF2765
—
SC
Enumeration date
10/10/2006
Last updated
07/21/2022
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