Organization
AREVV INC
Active
Other names
AreVon Hair Studio & Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERA LOUISE MANTACK COSMETOLOGIST (PRESIDENT AND OWNER)
(757) 717-8880
Entity
Organization
Contact information
Practice address
328 N GREAT NECK RD, SUITE 103, VIRGINIA BEACH, VA 23454-4060
(757) 965-6823
Mailing address
740 WATERS DR, VIRGINIA BEACH, VA 23462-4882
(757) 717-8880
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1201103891
VA
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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