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NPI Profile for THE PARLOR RECONSTRUCTIVE TATTOOS LLC in MAYNARD, MA.
Deactivation Date: 3/31/2023
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Art Specialist/Technologist |
246ZA2600X |
| NPI # | 1821727405 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 06/08/2022 | |
| Last updated | 06/08/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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THE PARLOR RECONSTRUCTIVE TATTOOS, LLC