Organization
D L DOUGLAS HAIR DESIGNS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA L DOUGLAS (CERTIFIED HAIR LOSS SPECIALIST/OWNE)
(856) 495-8108
Entity
Organization
Contact information
Practice address
631 WHITE HORSE PIKE, HADDON TOWNSHIP, NJ 08107-1246
(856) 477-2381
Mailing address
1009 WALNUT LN, MULLICA HILL, NJ 08062-2050
(856) 495-8108
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
32WD03145600
NJ
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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