# LABEAUTYANDHAIR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295284248
- **Authorized official:** ABREA TILLMAN (OWNER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (415) 900-7489

## Contact information

- **Practice address:** 460 CITY CENTER DR, ROHNERT PARK, CA 94928-2186
- **Practice address phone:** (415) 900-7489
- **Mailing address:** 3558 ROUND BARN BLVD STE 200, SANTA ROSA, CA 95403-0991
- **Mailing address phone:** (415) 900-7489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2016
- **Last updated:** 03/28/2025