Organization
MZCOLA BEAUTY BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEA'SHANAY DORRIS COSMETOLOGY (OWNER)
(708) 838-4633
Entity
Organization
Contact information
Practice address
723 SHADY ACRES LN, CALUMET CITY, IL 60409-3711
(708) 838-4633
Mailing address
723 SHADY ACRES LN, CALUMET CITY, IL 60409-3711
(708) 838-4633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011.301973
IL
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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