Organization
GODDESS ELECTROLYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULY TWENTY-THREE (OWNER / ELECTROLOGIST)
(612) 448-5742
Entity
Organization
Contact information
Practice address
2637 27TH AVE S STE 202, MINNEAPOLIS, MN 55406-3080
(612) 448-5742
Mailing address
2825 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3055
(651) 399-2804
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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