Secret Guru Permanent Makeup
NPI #1033825062 in North Chesterfield, Virginia
Provider Information
- NPI Number
- 1033825062
- Entity Type
- Organization
- Organization Name
- Secret Guru Permanent Makeup
- Primary Specialty
- Specialist/Technologist, Other - Art, Medical
- Enumeration Date
- Jan 24, 2023
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 587 SOUTHLAKE BLVD STE A
- State
- Virginia
- ZIP Code
- 23236-3096
- Phone
- (804) 895-7616
Authorized Official
- Name
- CHRISTINA SOUTHERS, MASTERS BOARD CERT.
- Title
- OWNER
- Phone
- (804) 615-7476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Art, Medical — Art, Medical |
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