Organization
REVELATION INC.
Active
Other names
Revelation/Merle Norman Cosmetics/Les Wigs Renee
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE CARLSON (OWNER)
(563) 382-6212
Entity
Organization
Contact information
Practice address
111 E WATER ST, DECORAH, IA 52101-1801
(563) 382-6212
(563) 382-6420
Mailing address
111 E WATER ST, DECORAH, IA 52101-1801
(563) 382-6212
(563) 382-6420
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
11/18/2021
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