Organization
CHE SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MICHELLE WILLIAMS COSMETOLOGIST (OWNER)
(314) 395-1080
Entity
Organization
Contact information
Practice address
8416 OLIVE BLVD, SAINT LOUIS, MO 63132-2816
(314) 395-1080
Mailing address
8416 OLIVE BLVD, SAINT LOUIS, MO 63132-2816
(314) 395-1080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
103943
MO
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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