Organization
SOPHISTI CUTS LTD GO GREEN SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY VARNEY-BIELAT (PRESIDENT & OWNER)
(586) 772-6656
Entity
Organization
Contact information
Practice address
30126 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1648
(586) 772-6656
(586) 772-6674
Mailing address
30126 HARPER AVE, SAINT CLAIR SHORES, MI 48082-1648
(586) 772-6656
(586) 772-6674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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