Organization
THE PYNK BUTTERFLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA REESE (SALON OWNER)
(803) 782-7775
Entity
Organization
Contact information
Practice address
3400 FOREST DR STE 2178, COLUMBIA, SC 29204-4063
(803) 782-7775
Mailing address
3400 FOREST DR STE 2178, COLUMBIA, SC 29204-4063
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
9473
SC
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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