Organization
THE HAIR SLANGAZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JHONTEL JACKSON (ONWER)
(225) 421-7476
Entity
Organization
Contact information
Practice address
2236 HOYT DR, BATON ROUGE, LA 70816-3384
(225) 421-7476
Mailing address
2236 HOYT DR, BATON ROUGE, LA 70816-3384
(225) 421-7476
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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