Organization
MODESTY ELECTROLOGY
Active
Other names
Modesty Electrology
Organization subpart
No
Provider details
NPI number
Authorized official
MODESTY J ISAGUIRRE LE (OWNER)
(909) 954-8363
Entity
Organization
Contact information
Practice address
140 S GRAND AVE, GLENDORA, CA 91741-4259
(213) 973-3278
Mailing address
824 N PASADENA AVE APT 14, AZUSA, CA 91702-2573
(909) 954-8363
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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