NPI 1033825062

Secret Guru Permanent Makeup

Organisation Medical Art Specialist/Technologist North Chesterfield, VA

Practice location

Address: 587 Southlake Blvd STE a, North Chesterfield, VA 23236-3096
Phone: (804) 895-7616
Mailing address: 3511 Bellbluff Dr, North Chesterfield, VA 23237-1002

Authorised official

Name: Christina Southers
Title: Owner
Phone: (804) 615-7476

Registered specialties

Medical Art Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZA2600X

Other Specialist/Technologist, Other providers in Virginia →

Registry record

NPI: 1033825062
Entity type: Organization
NPI issued: 24 Jan 2023
Record last updated: 24 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.