Organization
SENTRYC BEAUTY LLC
Active
Other names
Sentryc Beauty LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEIKO L LUNDENGA (PROVIDER/OWNER)
(757) 277-4925
Entity
Organization
Contact information
Practice address
146 WOODLAND RD, HAMPTON, VA 23663-2144
(757) 277-4925
Mailing address
146 WOODLAND RD, HAMPTON, VA 23663-2144
(757) 277-4925
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477184521
—
OH
Enumeration date
01/02/2023
Last updated
01/02/2023
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