New Image Salon, LLC
NPI #1609019017 in Kennewick, Washington
Provider Information
- NPI Number
- 1609019017
- Entity Type
- Organization
- Organization Name
- New Image Salon, LLC
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Apr 14, 2009
- Last Updated
- May 10, 2012
Practice Location
- Address
- 1360 N LOUISIANA ST
- Address 2
- SUITE D
- City
- Kennewick
- State
- Washington
- ZIP Code
- 99336-7171
- Phone
- (509) 735-4247
Authorized Official
- Name
- DEBRA LYNN COOMES
- Title
- OWNER
- Phone
- (509) 735-4247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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