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Organization

TRANSFORMATIONS HAIR SALON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RHODA MARIE MOTEN (OWNER)
(386) 453-4909
Entity
Organization

Contact information

Practice address
337 BEVILLE RD, SOUTH DAYTONA, FL 32119-2158
(386) 872-4985
Mailing address
337 BEVILLE RD, SOUTH DAYTONA, FL 32119-2158

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CE9999888
FL

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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