Organization
HAIR EXTENSION CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY GAY WATSON (OWNER)
(858) 483-4247
Entity
Organization
Contact information
Practice address
3975 GOLDFINCH ST STE 1, SAN DIEGO, CA 92103-2994
(858) 483-4247
(858) 724-3015
Mailing address
3975 GOLDFINCH ST STE 1, SAN DIEGO, CA 92103-2994
(858) 483-4247
(858) 724-3015
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
KK410893
CA
Other
Enumeration date
03/28/2014
Last updated
01/17/2019
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