Organization
J. VALENCIA STYLE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMARA HENRY (OWNER/LICENSED COSMETOLOGIST)
(762) 201-0496
Entity
Organization
Contact information
Practice address
1914 CENTRAL AVE, AUGUSTA, GA 30904-4126
(762) 585-5443
Mailing address
1914 CENTRAL AVE, AUGUSTA, GA 30904-4126
(762) 585-5443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/22/2022
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