Provider Demographics
NPI:1952148173
Name:ZEN ANGEL MOVES LLC
Entity type:Organization
Organization Name:ZEN ANGEL MOVES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ELECTROLOGIST, LICENSED ESTHETICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FINESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:LE
Authorized Official - Phone:313-478-3768
Mailing Address - Street 1:321 COTILLION RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76134-4621
Mailing Address - Country:US
Mailing Address - Phone:313-478-3768
Mailing Address - Fax:
Practice Address - Street 1:2306 OAK LN STE 3
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-8819
Practice Address - Country:US
Practice Address - Phone:945-272-5683
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty