Organization
JOVANCE BEAUTY AND HEALTH SPA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA PARKER (SR. MANAGING DIRECTOR)
(510) 224-0744
Entity
Organization
Contact information
Practice address
1406 PINOLE VALLEY RD, PINOLE, CA 94564-1338
(510) 223-2900
Mailing address
1406 PINOLE VALLEY RD, PINOLE, CA 94564-1338
(510) 223-2900
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/24/2018
Last updated
06/11/2019
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