National Provider Identifier Database

GLAMOUR AND GRACE AESTHETICS LLC
Specialist/Technologist, Other

General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.


Contact Information

GLAMOUR AND GRACE AESTHETICS LLC
1110 NE WOOD VILLAGE BLVD
WOOD VILLAGE, OR97060-2668
Phone: 833-660-7465
Fax: 312-600-4447
Website:
Specialty Taxonomy Code
* Specialist/Technologist, Other 246Z00000X

* Indicates primary specialty

NPI Profile & details for GLAMOUR AND GRACE AESTHETICS LLC

NPI Number 1174465348
Legal business name
LBN
GLAMOUR AND GRACE AESTHETICS LLC
Authorized official ANN-MARIE SEGARRA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/07/2026
Last updated 04/07/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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