Hollywood Nails & Spa LLC

NPI #1255516407 in Demotte, Indiana

Provider Information

NPI Number: 1255516407
Entity Type: Organization
Organization Name: Hollywood Nails & Spa LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jan 7, 2008
Last Updated: Jan 7, 2008

Practice Location

Address: 510 N HALLECK ST
City: Demotte
State: Indiana
ZIP Code: 46310-9553
Phone: (219) 987-3001

Authorized Official

Name: HOLLY HEBDA
Title: OWNER
Phone: (219) 987-3001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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