Organization
MANE EVENT SALON LLC
Active
Other names
Mane Event Salon LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENIA E JOHNSON CERTIFIEDHAIRLOSSSPE (CERTIFIED HAIR LOSS SPECIALIST)
(423) 468-3425
Entity
Organization
Contact information
Practice address
5525 SAINT ELMO AVE, CHATTANOOGA, TN 37409-2312
(423) 468-3425
Mailing address
5525 SAINT ELMO AVE, CHATTANOOGA, TN 37409-2312
(423) 468-3425
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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