Organization
LASER AESTHETICS BODY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA ASHMORE NP (OWNER)
(901) 388-8887
Entity
Organization
Contact information
Practice address
9755 HIGHWAY 64, SUITE 101, ARLINGTON, TN 38002-8579
(901) 388-8887
(901) 388-8208
Mailing address
9755 HIGHWAY 64, SUITE 101, ARLINGTON, TN 38002-8579
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
APN0000021037
TN
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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