Organization
PAMELA RENE LUXURIOUS HAIR SALON
Active
Organization
PAMELA RENE LUXURIOUS HAIR SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA RENE HALL MASTER COSMETOLOGIST (OWNER)
(404) 831-8521
Entity
Organization
Contact information
Practice address
1151 HAMMOND DR NE, SUITE 200, ATLANTA, GA 30346-1524
(404) 831-8521
Mailing address
1151 HAMMOND DR, SUITE 200, ATLANTA, GA 30346
(404) 831-8521
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
CASA048619
GA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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