Organization
PHOTOREALISTIC AREOLA & HEALING ARTS INSTITUTE
Active
Organization
PHOTOREALISTIC AREOLA & HEALING ARTS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILLIAMS (BILLING MANAGER)
(407) 982-4876
Entity
Organization
Contact information
Practice address
4058 S LONE PINE AVE, SPRINGFIELD, MO 65804-6605
(417) 763-5414
Mailing address
4058 S LONE PINE AVE, SPRINGFIELD, MO 65804-6605
(417) 763-5414
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
10/29/2025
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