Organization
AVALON SKIN CARE AND ELECTROLYSIS INC
Active
Parent organization
AVALON SKIN CARE AND ELECTROLYSIS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVALON SKIN CARE AND ELECTROLYSIS INC
Authorized official
MS. GEMMA ROCHE ELECTROLYSIST (OWNER/OPERATOR)
(650) 344-5555
Entity
Organization
Contact information
Practice address
430 PENINSULA AVE STE 8, SAN MATEO, CA 94401-1683
(650) 344-5555
Mailing address
430 PENINSULA AVE STE 8, SAN MATEO, CA 94401-1683
(650) 344-5555
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/06/2018
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