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NPI Code Detail

MEDICARE: EYE CANDY LASHES AND BROWS

MEDICARE: EYE CANDY LASHES AND BROWS
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
1174400000XSpecialist

General Provider Information

NPI Number : 1427532407
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE CANDY LASHES AND BROWS
Provider Business Mailing Address
First Line : 9332 HUNTER DR UNIT 102
Second Line :
City : ORLAND HILLS
State : IL
Zip : 60487-7456
Country : US
Telephone Number : 708-951-6435
Fax Number :
Provider Business Practice Location Address
First Line : 9332 HUNTER DR UNIT 102
Second Line :
City : ORLAND HILLS
State : IL
Zip : 60487-7456
Country : US
Telephone Number : 708-951-6435
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MYESHA THOMAS
Credential :
Telephone Number : 708-953-6435
Provider Enumeration Date : 09/17/2018
Last Update Date : 09/17/2018

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Directions to “EYE CANDY LASHES AND BROWS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.