| NPI | 1952007478 |
|---|---|
| Former Legal Business Name | MADAME LAREAUX BEAUTY |
| Entity Type | Organization |
| Authorized Contact | SHEQOUYA JOHNSON Owner 971-380-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-02-16 |