Divine Lash & Beauty Bar

NPI #1902546187 in Mequon, Wisconsin

Provider Information

NPI Number
1902546187
Entity Type
Organization
Organization Name
Divine Lash & Beauty Bar
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Mar 29, 2022
Last Updated
Aug 9, 2023

Practice Location

Address
10520 N BAEHR RD STE M
City
Mequon
ZIP Code
53092-6701
Phone
(262) 417-8385

Authorized Official

Name
ASHLEY MOORE
Title
OWNER/AESTTHETICIAN
Phone
(414) 202-6350

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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