Organization
VIRTUOUS SALON & SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALICIA LEE THOMAS (SALON OWNER/COSMETOLOGIST)
(864) 276-2500
Entity
Organization
Contact information
Practice address
1515 N FANT ST, ANDERSON, SC 29621-4707
(864) 276-2500
Mailing address
1515 N FANT ST, ANDERSON, SC 29621-4707
(864) 276-2500
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
63846
SC
251K00000X
Public Health or Welfare Agency
Primary
89118
SC
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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