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Organization

VENUS HAIR RESTORATION AND HAIR SPA CLINIC LLC

Active
Other names
Venus Hair Restoration and Hair Spa Clinic LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TATIANE DE SOUZA (CEO/HAIR RESTORATION EXPERT)
(618) 401-6359
Entity
Organization

Contact information

Practice address
625 S LINCOLN AVE, O FALLON, IL 62269-2663
(618) 401-6359
Mailing address
625 S LINCOLN AVE, O FALLON, IL 62269-2663
(618) 401-6359

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary

Other

Enumeration date
10/24/2023
Last updated
10/24/2023
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