Organization
SOULE HAIR AND BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY YVETTE LOCKRIDGE AESTHETICIAN 144671 (MANAGER)
(615) 345-4101
Entity
Organization
Contact information
Practice address
718 THOMPSON LN STE 108315, NASHVILLE, TN 37204-3600
(615) 345-4101
Mailing address
718 THOMPSON LN STE 108315, NASHVILLE, TN 37204-3600
(615) 345-4101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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