Organization
STYLES 40 SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LACONIA DENISE ADAMS (OWNER)
(314) 481-6865
Entity
Organization
Contact information
Practice address
4550 GRAVOIS AVE, SAINT LOUIS, MO 63116-2426
(314) 481-6865
Mailing address
4550 GRAVOIS AVE, SAINT LOUIS, MO 63116-2426
(314) 481-6865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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