Organization
SHEWILL CO
Active
Other names
Shelton's Salon and Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHELTON WILLIAMS (OWNER)
(301) 562-8311
Entity
Organization
Contact information
Practice address
910 GIST AVE, SILVER SPRING, MD 20910-4943
(301) 562-8311
Mailing address
910 GIST AVE, SILVER SPRING, MD 20910-4943
(301) 562-8311
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3014312116
SALON
—
Enumeration date
11/08/2022
Last updated
11/08/2022
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