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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