Provider Demographics
NPI:1285492223
Name:TREVINO BEAUTY COLLABORATIVE LLC
Entity type:Organization
Organization Name:TREVINO BEAUTY COLLABORATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ELECTROLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:ELECTROLOGIST
Authorized Official - Phone:206-751-6922
Mailing Address - Street 1:509 OLIVE WAY STE 1354
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-3170
Mailing Address - Country:US
Mailing Address - Phone:206-852-8266
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 1354
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3170
Practice Address - Country:US
Practice Address - Phone:206-852-8266
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty