Organization
RENEW SALON & DAY SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOMECIA UVONNE BROWN (OWNER)
(843) 225-9697
Entity
Organization
Contact information
Practice address
2154 N CENTER ST STE 203B, N CHARLESTON, SC 29406-4080
(843) 225-9697
Mailing address
2154 N CENTER ST STE 203B, N CHARLESTON, SC 29406-4080
(843) 225-9697
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
30604
SC
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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