Organization
REVENGE BODY BAR MEDSPA
Active
Organization
REVENGE BODY BAR MEDSPA
Active
Other names
Skin Ivy Wellness Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA WILLIAMS NP (OWNER)
(901) 584-8165
Entity
Organization
Contact information
Practice address
3242 PLAYERS CLUB CIR, MEMPHIS, TN 38125-8843
(901) 584-8165
Mailing address
3242 PLAYERS CLUB CIR, MEMPHIS, TN 38125-8843
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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