Organization
CHRYSALIS CLINIC OF PERMANENT COSMETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN RUDY (OWNER)
(360) 657-7040
Entity
Organization
Contact information
Practice address
3204 SMOKEY POINT DR, ARLINGTON, WA 98223-8476
(360) 657-7040
Mailing address
3204 SMOKEY POINT DR, ARLINGTON, WA 98223-8476
(360) 657-7040
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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