Organization
OUTSKIRTS BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORTNEE NELSON (OWNER)
(518) 779-5475
Entity
Organization
Contact information
Practice address
180 W MAIN ST, RIGBY, ID 83442-1313
(518) 779-5475
Mailing address
180 W MAIN ST, RIGBY, ID 83442-1313
(518) 779-5475
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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