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1356099113
TIDEWATER MEDSPA PLLC
PORTSMOUTH, VA
NPI
1356099113
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Entity Type
Organization
Authorized Contact
MARGOT WILSON
Owner
757-470-9454
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
TIDEWATER MEDSPA PLLC
3400 AIRLINE BLVD
PORTSMOUTH, VA 23701-2623
Phone number: 757-470-9454
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Mailing Address
TIDEWATER MEDSPA PLLC
3400 AIRLINE BLVD
PORTSMOUTH, VA 23701-2623
Phone number: 757-470-9454
Copy
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