Organization
THE PARLOR RECONSTRUCTIVE TATTOOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABBIE LYNN INGRAM (OWNER)
(617) 312-7921
Entity
Organization
Contact information
Practice address
14 NASON ST STE 203, MAYNARD, MA 01754-2594
(781) 658-2233
Mailing address
209 WARREN RD, FRAMINGHAM, MA 01702-5962
(617) 312-7921
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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