Organization
BOUGIE CHIC BEAUTY BAR AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN JOHNSON NP (NURSE PRACTITIONER)
(954) 440-5326
Entity
Organization
Contact information
Practice address
674 N UNIVERSITY DR # 35, PEMBROKE PINES, FL 33024-6738
(954) 440-5326
Mailing address
674 N UNIVERSITY DR # 35, PEMBROKE PINES, FL 33024-6738
(954) 440-5326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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