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Organization

RESTORATION BODY ART INC.

Active
Other names
Restoration Body Art
Organization subpart
No

Provider details

NPI number
Authorized official
KRIS ANN FERNICOLA (OWNER)
(407) 982-4876
Entity
Organization

Contact information

Practice address
573 VALLEY RD STE 6, WAYNE, NJ 07470-3552
(973) 789-6523
(407) 650-2754
Mailing address
573 VALLEY RD STE 6, WAYNE, NJ 07470-3552
(973) 789-6523
(407) 650-2754

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary

Other

Enumeration date
07/17/2023
Last updated
05/03/2024
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