Organization
EYEBROW RENOVATION & PERMANENT MAKEUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY FRANCIS HUNTER CPCP (OWNER)
(434) 825-0481
Entity
Organization
Contact information
Practice address
100 2ND ST NW, CHARLOTTESVILLE, VA 22902-5193
(434) 825-0481
Mailing address
100 2ND ST NW, CHARLOTTESVILLE, VA 22902-5193
(434) 825-0481
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1236000418
VA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
Update your record
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