Organization
LAREAUX BEAUTY & WELLNESS
Active
Other names
Madame Lareaux Beauty
Organization subpart
No
Provider details
NPI number
Authorized official
SHEQOUYA JOHNSON (OWNER)
(971) 380-8995
Entity
Organization
Contact information
Practice address
2225 LLOYD CTR, PORTLAND, OR 97232-1315
(971) 380-8995
Mailing address
4701 NE KILLINGSWORTH ST APT A, PORTLAND, OR 97218-1989
(971) 380-8995
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/16/2024
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