Organization
SALON JUSTICE BEAUTY BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENOSHA H SMITH (OWNER)
(313) 623-6922
Entity
Organization
Contact information
Practice address
16300 N PARK DR STE 115, SOUTHFIELD, MI 48075-4721
(313) 623-6922
Mailing address
24624 MELODY RD, WARREN, MI 48089-4748
(313) 623-6922
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
MI
Other
Enumeration date
05/08/2018
Last updated
07/21/2022
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