Provider Demographics
NPI:1184382889
Name:SENZA PELO INC
Entity type:Organization
Organization Name:SENZA PELO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELECTROLOGIST LASER TECHNOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENICOLA
Authorized Official - Suffix:
Authorized Official - Credentials:CLS CME CPE
Authorized Official - Phone:602-246-1966
Mailing Address - Street 1:5702 N 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-2432
Mailing Address - Country:US
Mailing Address - Phone:602-246-1966
Mailing Address - Fax:
Practice Address - Street 1:5702 N 19TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-2432
Practice Address - Country:US
Practice Address - Phone:602-246-1966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty