Organization
GRACE AESTHETICS & BEAUTY LOUNGE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENTONIA ASKEW DIRECTOR (OWNER)
(334) 703-7869
Entity
Organization
Contact information
Practice address
2210 GATEWAY DR STE B, OPELIKA, AL 36801-6875
(334) 737-5174
Mailing address
2210 GATEWAY DR STE B, OPELIKA, AL 36801-6875
(334) 737-5174
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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