Organization
BOHEMIAN AESTHETIC ATELIER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARLITA GREEN (OWNER)
(916) 822-2646
Entity
Organization
Contact information
Practice address
106 L ST STE 1AND5, SACRAMENTO, CA 95814-3227
(916) 822-2646
(407) 650-2754
Mailing address
106 L ST STE 1AND5, SACRAMENTO, CA 95814-3227
(916) 822-2646
(407) 650-2754
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
05/04/2024
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