Organization
FOREVER BARE ELECTROLYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA MORENO CPE (OWNER/ELECTROLOGIST)
(469) 494-5840
Entity
Organization
Contact information
Practice address
6464 E NORTHWEST HWY STE 127, DALLAS, TX 75214-7804
(469) 494-5840
Mailing address
7311 WAKE FORREST DR, DALLAS, TX 75214-1750
(469) 494-5840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/07/2024
Last updated
11/12/2024
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