Organization
AGELESS RADIANCE BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHELINE MONESTIME (MEMBER)
(786) 699-0614
Entity
Organization
Contact information
Practice address
149 HIDDEN COURT RD, HOLLYWOOD, FL 33023-7466
(786) 246-5268
Mailing address
149 HIDDEN COURT RD, HOLLYWOOD, FL 33023-7466
(786) 699-0614
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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