Organization
CAPTIVATING GLAM SALON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
D'NELL S JACKSON (OWNER)
(469) 352-8411
Entity
Organization
Contact information
Practice address
12021 DALLAS PKWY STE 600, FRISCO, TX 75033-3605
(469) 352-8411
Mailing address
12021 DALLAS PKWY STE 600, FRISCO, TX 75033-3605
(469) 352-8411
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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