Organization
SUSAN'S HAIR UNLIMITED ,INC
Active
Other names
Hair Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WILLIAM JENSEN (MANAGER)
(619) 299-6060
Entity
Organization
Contact information
Practice address
1400 CAMINO DE LA REINA, SUITE 110, SAN DIEGO, CA 92108-1512
(619) 299-6060
(619) 299-5379
Mailing address
1400 CAMINO DE LA REINA, SUITE 110, SAN DIEGO, CA 92108-1512
(619) 299-6060
(619) 299-5379
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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