Organization
ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC
Active
Organization
ENCHANTED ESSENCE BEAUTY BOUTIQUE LLC
Active
Other names
Enchanted Essence Beauty Boutique Salon & Restoration Center, Enchanted Essence Beauty Boutique, Enchanted Essence Beauty Boutique Salon & Hair Restoration Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOSHA JACKSON (OWNER)
(775) 770-8023
Entity
Organization
Contact information
Practice address
3710 GRANT DR STE A, RENO, NV 89509-5317
(775) 786-0884
Mailing address
3710 GRANT DR STE A, RENO, NV 89509-5317
(775) 786-0884
(775) 600-4961
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
05/11/2023
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