MEDICARE: PICTURE PERFECT ESTHETICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251X00000X	Supports Brokerage Agency

General Provider Information

NPI Number	:	1245178193
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PICTURE PERFECT ESTHETICS LLC

Provider Business Mailing Address
First Line	:	414 RAY AVE
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-4916
Country	:	US
Telephone Number	:	910-432-0741
Fax Number	:

Provider Business Practice Location Address
First Line	:	414 RAY AVE
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28301-4916
Country	:	US
Telephone Number	:	910-432-0741
Fax Number	:

Authorized Official
Title or Position	:	OWNER & LICENSED ESTHETICIAN
Name	:	MRS. VALEN PEREZ
Credential	:
Telephone Number	:	910-624-7986

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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