Organization
EN'VISION HAIR AND NAILS LLC
Active
Organization
EN'VISION HAIR AND NAILS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ALLEN (BILLER)
(786) 594-5502
Entity
Organization
Contact information
Practice address
2750 CHAPEL HILL RD STE 800, DOUGLASVILLE, GA 30135-1712
(770) 942-9931
Mailing address
2750 CHAPEL HILL RD STE 800, DOUGLASVILLE, GA 30135-1712
(770) 942-9931
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
CO070153
GA
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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