Organization
ALICE II SALONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL LYNN TOLIVER CERTIFIED HAIR LOSS (COSMETOLOGIST/INSTRACTOR)
(815) 483-4247
Entity
Organization
Contact information
Practice address
311 QUADR,., BOLINGBROOK, IL 60440
(630) 378-9707
(815) 436-2009
Mailing address
311 QUADRANGLE DR, BOLINGBROOK, IL 60440
(630) 378-9707
(815) 436-2009
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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