Organization
ELYSIANCOLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAQUEL MCKINNON (OWNER)
(334) 332-6260
Entity
Organization
Contact information
Practice address
2301 OGLETREE VILLAGE LN STE 106, AUBURN, AL 36830-3094
(334) 332-6260
Mailing address
2301 OGLETREE VILLAGE LN STE 106, AUBURN, AL 36830-3094
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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