Organization
OOH LA LA SALON AND NON SURGICAL HAIR REPLACEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH Y FLEMING (OWNER)
(515) 729-6676
Entity
Organization
Contact information
Practice address
4815 UNIVERSITY AVE, SUITE 2, DES MOINES, IA 50311-3323
(515) 729-6676
Mailing address
3926 E 38TH ST, DES MOINES, IA 50317-8974
(515) 729-6676
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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