Organization
SALON MJ2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA CHERRY COSMETOLOGIST (HAIR LOSS SPECIALIST)
(314) 938-5585
Entity
Organization
Contact information
Practice address
394 SAINT FERDINAND ST, FLORISSANT, MO 63031-5918
(314) 938-5585
Mailing address
394 SAINT FERDINAND ST, FLORISSANT, MO 63031-5918
(314) 938-5585
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
112570
MO
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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