Organization
NEW IMAGE SALON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNN COOMES (OWNER)
(509) 735-4247
Entity
Organization
Contact information
Practice address
1360 N LOUISIANA ST, SUITE D, KENNEWICK, WA 99336-7171
(509) 735-4247
Mailing address
1360 N LOUISIANA ST, SUITE D, KENNEWICK, WA 99336-7171
(509) 735-4247
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/14/2009
Last updated
05/10/2012
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