Organization
THE HAIR CLINIC RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDI NICHOLE WALLACE (HAIR LOSS PRACTITIONER)
(667) 281-9603
Entity
Organization
Contact information
Practice address
235 W MAIN ST STE E, SALISBURY, MD 21801-4868
(667) 281-9603
Mailing address
235 W MAIN ST STE E, SALISBURY, MD 21801-4868
(667) 281-9603
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
11/16/2023
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