Organization
BODACIOUS BEAUTY BARR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN GARNET WARE (PARAMEDICAL TATTOO RECOVERY ARTIST)
(217) 341-5832
Entity
Organization
Contact information
Practice address
319 E MADISON ST STE 4J, SPRINGFIELD, IL 62701-3135
(217) 775-4190
Mailing address
1123 N HILL ST, SPRINGFIELD, IL 62702-4510
(217) 848-0589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/24/2026
Last updated
06/03/2026
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