Organization
CAVIAR SALON AND SPA LLC
Active
Organization
CAVIAR SALON AND SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELETA PHIPPS-HARRISON IV TECH (CEO)
(727) 340-4469
Entity
Organization
Contact information
Practice address
3980 TAMPA RD STE 101J, OLDSMAR, FL 34677-3223
(727) 340-4469
Mailing address
3980 TAMPA RD STE 101J, OLDSMAR, FL 34677-3223
(727) 340-4469
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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