Organization
BOW BOUTIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE WOODS (FOUNDER AND MEMBER)
(404) 822-9119
Entity
Organization
Contact information
Practice address
3939 CARRIAGE HOUSE CT APT C, EAST POINT, GA 30344-6370
(404) 822-9119
Mailing address
3939 CARRIAGE HOUSE CT APT C, EAST POINT, GA 30344-6370
(404) 822-9119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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