The Parlor Reconstructive Tattoos, LLC
NPI #1821727405 in Maynard, Massachusetts
Provider Information
- NPI Number
- 1821727405
- Entity Type
- Organization
- Organization Name
- The Parlor Reconstructive Tattoos, LLC
- Primary Specialty
- Specialist/Technologist, Other - Art, Medical
- Enumeration Date
- Jun 8, 2022
- Last Updated
- Jun 8, 2022
Practice Location
- Address
- 14 NASON ST STE 203
- City
- Maynard
- State
- Massachusetts
- ZIP Code
- 01754-2594
- Phone
- (781) 658-2233
Authorized Official
- Name
- MRS. ABBIE LYNN INGRAM
- Title
- OWNER
- Phone
- (617) 312-7921
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Art, Medical — Art, Medical |
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| MR. Thomas John Leclair | |
| Patricia A Workman | |
| MS. Juli M Knight | |
| Darlene Therese Dibona |
Organizations
| Provider Name | |
|---|---|
| Southcoast Dermalgraphics, LLC |
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