Organization
DISCOVER YOUR ILLUSIONS HAIR RESTORATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHIA ILICIA WADE BELL CRANIAL SPECAILIST (OWNER)
(510) 917-2624
Entity
Organization
Contact information
Practice address
2266 47TH AVE, OAKLAND, CA 94601-4717
(510) 917-2624
Mailing address
2266 47TH AVE, OAKLAND, CA 94601-4717
(510) 917-2624
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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