Organization
BEYOND BASICS SALONS INC
Active
Other names
Salon Beyond Basics Wigs
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL FUQUA (PRESIDENT)
(910) 452-0072
Entity
Organization
Contact information
Practice address
1124 FLORAL PKWY, WILMINGTON, NC 28403-6212
(910) 452-0072
Mailing address
1124 FLORAL PKWY, WILMINGTON, NC 28403-6212
(910) 452-0072
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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