Organization
GOSHUS AURA SENIOR NAIL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XEE XIONG (MEDICAL NAIL TECHNICIAN)
(707) 218-1072
Entity
Organization
Contact information
Practice address
15 82ND DR STE 160, GLADSTONE, OR 97027-2557
(707) 218-1072
Mailing address
15 82ND DR STE 160, GLADSTONE, OR 97027-2557
(707) 218-1072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01810159
—
OR
Enumeration date
09/07/2021
Last updated
09/11/2021
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