Organization
RENEW YOURSELF HEALTH AND BEAUTY BAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIKA GLOVER (OWNER)
(803) 645-2489
Entity
Organization
Contact information
Practice address
1467 OXPENS RD, WARRENVILLE, SC 29851-3295
(803) 645-2489
Mailing address
1467 OXPENS RD, WARRENVILLE, SC 29851-3295
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2021
Last updated
09/10/2024
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