Organization
ASHLAND ELECTROLYSIS & SKIN AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOLLY BALLEW LE, LFT (OWNER/OPERATOR)
(541) 488-3262
Entity
Organization
Contact information
Practice address
570B FAIRVIEW ST, ASHLAND, OR 97520-2967
(541) 488-3262
(866) 292-0549
Mailing address
PO BOX 577, ASHLAND, OR 97520-0020
(541) 488-3262
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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