Our Salon INC
Massage Therapist in Princeton, WV. Organization (NPI-2).
NPI number1003138652
StatusActive
Last updated in NPPESFeb 24, 2010
Details
- NPI
- 1003138652
- Entity type
- Organization (NPI-2)
- Legal business name
- Our Salon INC
- Organization subpart
- No
- Enumeration date
- Feb 24, 2010
- Last updated
- Feb 24, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Other names
- Escape Salon And Medical Spa (Doing Business As)
Practice location
1243 Stafford DrPrinceton, WV 24740-2480
Phone 304-920-5513
Mailing address
Po Box 5071Princeton, WV 24740-5071
Phone 304-920-5513
Authorized official
Cameron M Pennington
President
3049205513
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