Organization
B JAZZY SALON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLISE YVETTE CHARLOT LIC COSMETOLOGIST (OWNER/STYLIST PRESIDENT)
(904) 716-9432
Entity
Organization
Contact information
Practice address
5116 GATE PKWY APT 5111, JACKSONVILLE, FL 32256-0265
(904) 716-9432
Mailing address
5116 GATE PKWY APT 5111, JACKSONVILLE, FL 32256-0265
(904) 716-9432
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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