Organization
A-PEEL SALON AND SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEVONDA NICOLE EVANS (OWNER/ESTHETICIAN)
(907) 433-9529
Entity
Organization
Contact information
Practice address
9003 TWO NOTCH RD, SUITE 5, COLUMBIA, SC 29223-5800
(907) 433-9529
Mailing address
205 BACCHARIS DR, COLUMBIA, SC 29229-6818
(907) 433-9529
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
78135
SC
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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