Organization
RENEW YOU WIG & AESTHETICS LLC
Active
Organization
RENEW YOU WIG & AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUIYARA FOREMAN (OWNER)
(347) 743-5459
Entity
Organization
Contact information
Practice address
2462 WHITE MEMORIAL CHURCH RD, WILLOW SPRING, NC 27592-8856
(347) 743-5459
Mailing address
2462 WHITE MEMORIAL CHURCH RD, WILLOW SPRING, NC 27592-8856
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85266
COSMETOLOGY LICENSE
NC
Enumeration date
07/19/2021
Last updated
07/19/2021
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