Organization
EPIPHANY SALON & SPA
Active
Other names
Paula L. Johnson, LLC, DBA
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULA LUCI JOHNSON (OWNER/COSMOTOLOGIST)
(239) 898-9036
Entity
Organization
Contact information
Practice address
14700 TAMIAMI TRAIL N., SUITE #13, NAPLES, FL 34110
(239) 594-1800
Mailing address
14700 TAMIAMI TRAIL N., SUITE #13, NAPLES, FL 34110
(239) 594-1800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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