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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