Organization
ALLURE FACES BY NIKKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENEQUA REECE (ADMINISTRATOR)
(817) 797-8840
Entity
Organization
Contact information
Practice address
339 ALLERTON LN, LANCASTER, TX 75146-2849
(817) 797-8840
Mailing address
339 ALLERTON LN, LANCASTER, TX 75146-2849
(817) 797-8840
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2247321
CLIA WAIVER LICENSE
TX
Enumeration date
01/26/2022
Last updated
01/26/2022
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