Organization
HOLLYWOOD NAILS & SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY HEBDA (OWNER)
(219) 987-3001
Entity
Organization
Contact information
Practice address
510 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-3001
Mailing address
510 N HALLECK ST, DEMOTTE, IN 46310-9553
(219) 987-3001
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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