Salon No. 5 LLC

NPI #1952870933 in Florissant, Missouri

Provider Information

NPI Number: 1952870933
Entity Type: Organization
Organization Name: Salon No. 5 LLC
Primary Specialty: Specialist
Enumeration Date: Nov 19, 2018
Last Updated: Nov 19, 2018

Practice Location

Address: 3821 VAILE AVE
City: Florissant
State: Missouri
ZIP Code: 63034-2227
Phone: (314) 736-4112

Authorized Official

Name: WHITNEY WITHERSPOON
Title: OWNER
Phone: (314) 438-7176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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